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Contact Information

KELLIE N WAY, MS, ATC, LAT, CSCS
3401 TECHNOLOGICAL AVE
SUITE 1
ORLANDO, FL32817
 Phone: 407-681-2520
 Fax: 407-649-1414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KELLIE N WAY · (Female)

NPI Number 1962630244
Status Active
Credentials MS, ATC, LAT, CSCS
Entity Individual
Enumeration date 06/25/2009
Last updated 12/21/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AL 2301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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