BENJAMIN KENNETH KELLY

ACCIDENT, MD
NPI1912570862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD  A0000671)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001691)
Enumeration Date2021-07-19
Last Update Date2024-05-30
Business Address
BENJAMIN KENNETH KELLY LAT, ATC, ITAT
86 PRIDE PKWY
ACCIDENT, MD 21520-2006
Phone number: 301-746-8668
Mailing Address
BENJAMIN KENNETH KELLY LAT, ATC, ITAT
305 DORN AVE
CUMBERLAND, MD 21502-3225
Phone number: 240-362-3188
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