Individual
MRS. KELSEY ANN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-9564
(502) 868-3854
Mailing address
105 SARDULA PL, GEORGETOWN, KY 40324-8765
(859) 595-3504
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1116380
KY
2255A2300X
Athletic Trainer
Primary
AT1175
KY
Other
Enumeration date
01/05/2015
Last updated
05/09/2022
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