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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KELLEY ELIZABETH FARWELL, MSED, ATC, CSCS

Active Sole Proprietor

MS. KELLEY ELIZABETH FARWELL, MSED, ATC, CSCS is a Athletic Trainer healthcare provider located in ODENTON, Maryland. NPI 1700213626 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ODENTON, MD

Registration Details

NPI Number
1700213626
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2013 (12.807951349882 yrs)
Last Updated
Aug 4, 2014
Licenses
0126001666 (VA)
A0000618 (MD)
Sole Proprietor
Yes

Practice Information

Address
8614 SYCAMORE GLEN LN
ODENTON, MD, 211132297
Browse MD providers · Browse ZIP 21113
Phone
7742396398
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in ODENTON, MD

Name Credential NPI
AMBER KELSO MS, LAT, ATC 1669886966
JOSEPH FRITSCH 1699167106
JESSICA D'APICE 1659040665
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.