Adam Richard Kelly, ATC

NPI #1518385376 in Normal, Illinois

Provider Information

NPI Number
1518385376
Entity Type
Individual
Name
Adam Richard Kelly, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 30, 2014
Last Updated
Mar 30, 2014

Practice Location

Address
401 N OAK ST
Address 2
APT. 4
City
Normal
ZIP Code
61761-2661
Phone
(309) 310-5762

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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