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Individual

KELLEY HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
11000 UNIVERSITY PARKWAY, PENSACOLA, FL 32514
(817) 257-5573
(817) 257-7702
Mailing address
11000 UNIVERSITY PARKWAY, PENSACOLA, FL 32514
(850) 291-2501

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1031
FL
2255A2300X
Athletic Trainer
AT3804
TX

Other

Enumeration date
03/19/2007
Last updated
12/12/2022
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