Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY JAY MCBRIDE, ATC/L
ActiveMR. KELLY JAY MCBRIDE, ATC/L is a Athletic Trainer healthcare provider located in MACOMB, Illinois. NPI 1467412452 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MACOMB, IL
Registration Details
- NPI Number
- 1467412452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.354672072154 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
709 W. ADAMS ST. #4MACOMB, IL, 614551367Browse IL providers · Browse ZIP 61455
- Phone
- 2174738362
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| RENEE L POLUBINSKY | ATC, CSCS | 1134193691 |
| JENNIFER M PLOS | ATC | 1376511949 |
| MICHAEL PATRICK PENDERGAST SR. | ATC | 1275598161 |
| MISS AMY BECKMAN | MS, ATC, CSCS | 1730116591 |
| MR. CHAD C CERULLO | MS, LAT, ATC | 1932252319 |
| MOLLY LYNN ANDERSON | — | 1407079429 |
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.