Active NPIIndividual providerSole proprietor

Miss Kelly Coleman, MS, ATC

Specialist/Technologist, Athletic Trainer in Ellington, Connecticut

NPI Number1033660089
Practice location
160 Windermere Ave Apt 4603, Ellington, CT 06029-3949
Fax
—
Last updated
October 14, 2016

Kelly Coleman is a Specialist/Technologist, Athletic Trainer based in Ellington, CT. Kelly Coleman practices in Ellington, CT and has the professional credentials of MS, ATC. The NPI Number for Kelly Coleman is 1033660089 and holds a License No. 000791 (CT). The current practice location address for Kelly Coleman is 160 Windermere Ave Apt 4603, Ellington, CT 06029-3949 and can be reached out via phone at 203-536-6917.

Provider Profile Details

NPI Number
1033660089
Provider Name
Kelly Coleman
Credential
MS, ATC
Provider Entity Type
Individual
Gender
Female
Address
160 Windermere Ave Apt 4603, Ellington, CT 06029-3949
Phone Number
203-536-6917
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Other Names
Miss Kelly Ann Coleman, MS, ATC (Other Name)
Provider Enumeration Date
October 14, 2016
Last Update Date
October 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Windermere Ave Apt 4603
Ellington, CT 06029-3949
Zip
06029-3949
Phone Number
203-536-6917
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
160 Windermere Ave Apt 4603
Ellington, CT 06029-3949
City
Ellington
State
CT
Zip
06029-3949
Phone Number
203-536-6917

License Information

License Number
000791
License State
CT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kelly Coleman, MS, ATC?

The NPI number of Miss Kelly Coleman, MS, ATC is 1033660089. It was assigned on October 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Miss Kelly Coleman, MS, ATC?

Miss Kelly Coleman, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000791.

Where does Miss Kelly Coleman, MS, ATC practice?

The practice location is 160 Windermere Ave Apt 4603, Ellington, CT 06029-3949. The office can be reached at 203-536-6917 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033660089 directly on the NPPES registry website.

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