Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN M KELLY
Active Sole ProprietorMR. STEPHEN M KELLY is a Athletic Trainer healthcare provider located in SHERWOOD, Wisconsin. NPI 1861023343 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SHERWOOD, WI
Registration Details
- NPI Number
- 1861023343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2020 (6.5054456123971 yrs)
- Last Updated
- Feb 3, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
N8021 LAKE BREEZE DRSHERWOOD, WI, 541699613Browse WI providers · Browse ZIP 54169
- Phone
- 9209897934
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.