Individual
MATTHEW KELSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 N 300 W, AMERICAN FORK, UT 84003-1414
(801) 592-9524
Mailing address
244 N 300 W, AMERICAN FORK, UT 84003-1414
(801) 592-9524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5490428-4810
UT
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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