Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASSANDRA KELLY, ATC, LAT
Active Sole ProprietorKASSANDRA KELLY, ATC, LAT is a Athletic Trainer healthcare provider located in STATESBORO, Georgia. NPI 1023407111 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STATESBORO, GA
Registration Details
- NPI Number
- 1023407111
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2015 (11.558745727396 yrs)
- Last Updated
- Jan 13, 2015
- License
-
AT001674 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
306B GRANADE STSTATESBORO, GA, 304582058Browse GA providers · Browse ZIP 30458
- Phone
- 9124787582
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| MR. BRANT DOUGLAS BERKSTRESSER | ATC | 1831310721 |
| DR. SUZANNE M KONZ | PH.D ATC CSCS | 1073733028 |
| DR. THOMAS ANDREW BUCKLEY | ED.D., ATC | 1194924449 |
| TIMOTHY ROLLINS USSERY | ATC | 1619167608 |
| MS. JENNIFER LANE BROWN | MS, ATC, LAT | 1023397478 |
| MARY WINNINGHAM | — | 1043628720 |
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.