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NPI Code Detail

MEDICARE: KELLEY A GOSLING MS, ATC, LAT

MEDICARE:   KELLEY A GOSLING  MS, ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1831716141
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY A GOSLING MS, ATC, LAT
Provider Business Mailing Address
First Line : 1280 VININGS LN
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-6452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1650 S POINCIANA BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758-2046
Country : US
Telephone Number : 407-846-5917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2020
Last Update Date : 02/11/2025

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Directions to “ KELLEY A GOSLING MS, ATC, LAT” Practice Location

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