Individual
MS. SAMANTHA C. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
212 CARTER DR, SUITE C, MIDDLETOWN, DE 19709-5837
(302) 378-7174
(302) 378-7157
Mailing address
212 CARTER DR, SUITE C, MIDDLETOWN, DE 19709-5837
(302) 378-7174
(302) 378-7157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000196
DE
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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