Kelton Wylie
NPI #1215686076 in Breckenridge, Texas
Provider Information
- NPI Number
- 1215686076
- Entity Type
- Individual
- Name
- Kelton Wylie
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Mar 21, 2022
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 7501 US HIGHWAY 180 W
- City
- Breckenridge
- State
- Texas
- ZIP Code
- 76424-8766
- Phone
- (254) 212-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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