MR. Kelly Jay Mcbride, ATC/L

NPI #1467412452 in Macomb, Illinois

Provider Information

NPI Number
1467412452
Entity Type
Individual
Name
MR. Kelly Jay Mcbride, ATC/L
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC/L
Enumeration Date
Mar 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
709 W. ADAMS ST. #4
City
Macomb
ZIP Code
61455-1367
Phone
(217) 473-8362

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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