Kelly Elizabeth Weller

NPI #1558916858 in Wauconda, Illinois

Provider Information

NPI Number: 1558916858
Entity Type: Individual
Name: Kelly Elizabeth Weller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 5, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 443 OAK GROVE CIR
City: Wauconda
State: Illinois
ZIP Code: 60084-3904
Phone: (224) 456-3601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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