Individual
KYLEA JO SHELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
414 E CLARK ST, SCSC A312D, VERMILLION, SD 57069-2307
(605) 658-5540
(605) 677-5467
Mailing address
414 E CLARK ST, SCSC A312D, VERMILLION, SD 57069-2307
(605) 658-5540
(605) 677-5467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0486
SD
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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