Individual
KELLY MCCOMISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
3421 UMBRELLA TREE DR, EDGEWATER, FL 32141-6520
(386) 478-1044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1124
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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