Active NPIIndividual provider

Amanda E Kelley, MS, ATC

Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts

NPI Number1235414236
Practice location
1 College St, College Of The Holy Cross Sports Medicine, Worcester, MA 01610-2322
Fax
—
Last updated
January 22, 2014

Amanda E. Kelley is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Amanda E. Kelley practices in Worcester, MA and has the professional credentials of MS, ATC. The NPI Number for Amanda E. Kelley is 1235414236 and holds a License No. RT004991 (PA). The current practice location address for Amanda E. Kelley is 1 College St, College Of The Holy Cross Sports Medicine, Worcester, MA 01610-2322 and can be reached out via phone at 508-793-2627.

Provider Profile Details

NPI Number
1235414236
Provider Name
Amanda E. Kelley
Credential
MS, ATC
Provider Entity Type
Individual
Gender
Female
Address
1 College St, College Of The Holy Cross Sports Medicine, Worcester, MA 01610-2322
Phone Number
508-793-2627
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
October 21, 2011
Last Update Date
January 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 College St
College Of The Holy Cross Sports Medicine
Worcester, MA 01610-2322
Zip
01610-2322
Phone Number
508-793-2627
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
1 College St
College Of The Holy Cross Sports Medicine
Worcester, MA 01610-2322
City
Worcester
State
MA
Zip
01610-2322

License Information

License Number (1)
RT004991
License State (1)
PA
License Number (2)
2103
License State (2)
MA
Taxonomy (2)
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 Amanda E Kelley, MS, ATC?

The NPI number of Amanda E Kelley, MS, ATC is 1235414236. It was assigned on October 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Amanda E Kelley, MS, ATC?

Amanda E Kelley, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in PA under license number RT004991.

Where does Amanda E Kelley, MS, ATC practice?

The practice location is 1 College St, College Of The Holy Cross Sports Medicine, Worcester, MA 01610-2322. The office can be reached at 508-793-2627 (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 1235414236 directly on the NPPES registry website.

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