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1417490764
JORDAN KELLEY
MOREHEAD, KY
NPI
1417490764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1270)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
-- JORDAN KELLEY ATC
195 ACADEMIC ATHLETIC CENTER
MOREHEAD, KY 40351
Phone number: 606-783-2392
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Mailing Address
-- JORDAN KELLEY ATC
195 ACADEMIC ATHLETIC CENTER
MOREHEAD, KY 40351
Phone number:
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