TIMOTHY WHITE KELLY

CHARLOTTE, NC
NPI1760906580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  1403)
Enumeration Date2017-08-02
Last Update Date2017-08-02
Business Address
TIMOTHY WHITE KELLY MED ATC-L
9502 PROVIDENCE RD
CHARLOTTE, NC 28277-8695
Phone number: 704-846-7219
Mailing Address
TIMOTHY WHITE KELLY MED ATC-L
9502 PROVIDENCE RD
CHARLOTTE, NC 28277-8695
Phone number: 704-846-7219
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