NPI 1043618382

Jennifer Nicole Kelley, MSATCLAT

Practitioner Athletic Trainer West Fargo, ND

Practice location

Address: 520 Lizzie Pl E, West Fargo, ND 58078-8500
Phone: (701) 490-1434
Mailing address: 520 Lizzie Place East, West Fargo, ND 58078

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 50447 (ND)

Other Specialist/Technologist providers in North Dakota →

Registry record

NPI: 1043618382
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2014
Record last updated: 19 Dec 2014

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.