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KELLIE ADAMS ATC, VATL

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1629479001

Individual Registrant:
 KELLIE  ADAMS ATC, VATL
Gender: F
Not Sole Proprietor

Location and contact information for practice:
601 CHILDRENS LN  NORFOLK, VA 23507-1910 US
Tel: 757-668-7000  Fax: --

Contact information for business:
2425 SHOREHAVEN DR  VIRGINIA BEACH, VA 23454-1749 US
Tel: --  Fax: --

Registration Information:
NPI: 1629479001
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
VA0126002042

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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