Individual
MR. SEAN E KELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 WHIPPLE AVE NW, NORTH CANTON, OH 44720
(330) 244-8113
Mailing address
3777 CASCADES BLVD APT 310, KENT, OH 44240-8041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004968
OH
Other
Enumeration date
12/18/2017
Last updated
08/25/2018
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