Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN KENNETH KELLY, LAT, ATC, ITAT
Active Sole ProprietorBENJAMIN KENNETH KELLY, LAT, ATC, ITAT is a Athletic Trainer healthcare provider located in ACCIDENT, Maryland. NPI 1912570862 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ACCIDENT, MD
Registration Details
- NPI Number
- 1912570862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2021 (5.0510775432296 yrs)
- Last Updated
- May 30, 2024
- Licenses
-
AT001691 (WV)A0000671 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
86 PRIDE PKWYACCIDENT, MD, 215202006Browse MD providers · Browse ZIP 21520
- Phone
- 3017468668
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in ACCIDENT, MD
| Name | Credential | NPI |
|---|---|---|
| MS. TERRY J STOUGH | ATC | 1669773131 |
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.