Individual
CHASE MICHAEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 RIDGE AVE, WHEELING, WV 26003-4588
(304) 312-6990
Mailing address
1 RIDGE AVE, WHEELING, WV 26003-4588
(304) 312-6990
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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