Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN KELLEY, ATC
Active Sole ProprietorJORDAN KELLEY, ATC is a Athletic Trainer healthcare provider located in MOREHEAD, Kentucky. NPI 1417490764 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOREHEAD, KY
Registration Details
- NPI Number
- 1417490764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2016 (9.6956860903008 yrs)
- Last Updated
- Nov 18, 2016
- License
-
AT1270 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
195 ACADEMIC ATHLETIC CENTERMOREHEAD, KY, 40351Browse KY providers · Browse ZIP 40351
- Phone
- 6067832392
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MOREHEAD, KY
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD ROSS GRUBER | ATC | 1124085683 |
| SARA MICHELLE LARSON | ATC | 1700093010 |
| MR. THOMAS JAMES CARVER | MS, ATC. | 1528275831 |
| RICHARD FLETCHER | ATC | 1780891085 |
| TYLER PRUITT | ATC | 1003212168 |
| ASHLEY DAWN SMITH | — | 1245767649 |
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.