Autumn Kelly, STUDENT
Autumn Kelly, STUDENT is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Works from 2 locations. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Philadelphia, PANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 42 Devon Dr, Piscataway, NJ 08854-5216 — (908) 202-2605
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1427661842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | STUDENT |
| Sole proprietor | No |
| NPI enumerated | August 25, 2020 |
| Last updated in NPPES | August 25, 2020 |
| Certification date | August 25, 2020 |
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