Kelly, Ellen Beth

Kelly, Ellen Beth is an individual health care provider with primary practice located at 5040 Snapfinger Woods Dr Suite 205, Decatur GA 30035-4020. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Kelly, Ellen Beth can be contacted via phone (678) 205-5736.

Contact Information

Primary practice address
5040 Snapfinger Woods Dr Suite 205 Decatur GA 30035-4020
Phone: (678) 205-5736
Fax: (678) 205-5739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001002 Georgia

Profile Details

NPI number 1396776290
LBN Legal business name Kelly, Ellen Beth
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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