Individual
KELLY COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
100 SEYMOUR RD, UTICA, NY 13502-1311
(315) 792-7519
Mailing address
100 SEYMOUR RD, UTICA, NY 13502-1311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000309
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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