Mary Caitlin Kelley, ATC/L
Specialist/Technologist, Athletic Trainer in Abingdon, VA. Individual provider (NPI-1).
NPI number1083003644
StatusActive
Last updated in NPPESJan 20, 2015
Details
- NPI
- 1083003644
- Entity type
- Individual (NPI-1)
- Name
- Mary Caitlin Kelley
- Credential
- ATC/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2015
- Last updated
- Jan 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126002106 | VA | Yes |
Practice location
445 Porterfield HwyAbingdon, VA 24210-0024
Phone 276-623-0153
Mailing address
Po Box 24Damascus, VA 24236-0024
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