Individual
KELLI RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6100 KENNERLY RD STE 201, JACKSONVILLE, FL 32216-4379
(904) 636-5335
(904) 636-5330
Mailing address
10550 BAYMEADOWS RD UNIT 609, JACKSONVILLE, FL 32256-4546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2457
FL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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