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

KELLYANN GANGAWARE, LAT, ATC

Active

KELLYANN GANGAWARE, LAT, ATC is a Athletic Trainer healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1841862513 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ALBUQUERQUE, NM

Registration Details

NPI Number
1841862513
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2021 (5.0518969408787 yrs)
Last Updated
Mar 27, 2022
License
AT826 (NM)

Practice Information

Address
1414 UNIVERSITY BOULEVARD SE
ALBUQUERQUE, NM, 871310001
Browse NM providers · Browse ZIP 87131
Phone
9739607391
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ALBUQUERQUE, NM

Name Credential NPI
MR. CARLOS ANTONIO OLIVAS ATC 1154306413
DR. SARA LYNN NOTTINGHAM EDD, LAT, ATC 1982660270
MR. ROBERT N EVERS ATC 1427000942
JOSHUA DAVID SEARS ATC, LAT 1639109317
MISS SABRA ANN PAPICH ATC 1891729844
MR. CARL BEAL JR. ATC 1316964406
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.