Individual
MS. LESLIE KINSAUL WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5690 WATERMELON RD STE 100, NORTHPORT, AL 35473-5008
(205) 759-2211
(205) 759-2213
Mailing address
5690 WATERMELON RD STE 100, NORTHPORT, AL 35473-5008
(205) 283-4968
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3873
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030402135
NATIONAL ATHLETIC TRAINERS BOARD OF CERTIFICATION
—
Enumeration date
02/15/2006
Last updated
10/21/2021
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