Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BLY, ATC
Active Sole ProprietorKELLY BLY, ATC is a Student (Health Education/Training) healthcare provider located in WATERFORD, New York. NPI 1851700322 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · WATERFORD, NY
Registration Details
- NPI Number
- 1851700322
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2014 (11.97450714296 yrs)
- Last Updated
- Aug 8, 2014
- License
-
RT005900 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
41 LOWER NEWTOWN RDWATERFORD, NY, 12188Browse NY providers · Browse ZIP 12188
- Phone
- 5183915217
- Primary Specialty
-
Student (Health Education/Training)
390200000X
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.