NPI 1003431164
John Kelly
Practice location
- Address
- 118 E Choccolocco St, Oxford, AL 36203-1222
- Phone
- (256) 831-4601
- Fax
- (256) 835-3386
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1003431164
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Jun 2020
- Record last updated
- 14 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.