Mrs. Kelly Capobianco, ATC, CSCS
Specialist in Oneco, Connecticut
1437203577- Practice location
- 1013 Plainfield Pike, Oneco, CT 06373
- Phone
- 860-690-6721
- Fax
- —
- Last updated
- March 25, 2022
Kelly Capobianco is a Specialist based in Oneco, CT. Kelly Capobianco practices in Oneco, CT and has the professional credentials of ATC, CSCS. The NPI Number for Kelly Capobianco is 1437203577 and holds a License No. 146561574 (CT). The current practice location address for Kelly Capobianco is 1013 Plainfield Pike, Oneco, CT 06373 and can be reached out via phone at 860-690-6721.
Provider Profile Details
- NPI Number
- 1437203577
- Provider Name
- Kelly Capobianco
- Credential
- ATC, CSCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1013 Plainfield Pike, Oneco, CT 06373
- Phone Number
- 860-690-6721
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Other Names
- Kelly Detwiler (Former Name)
- Provider Enumeration Date
- January 23, 2007
- Last Update Date
- March 25, 2022
- Certification Date
- March 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1013 Plainfield Pike
Oneco, CT 06373 - City
- Oneco
- State
- Connecticut
- Zip
- 06373
- Phone Number
- 860-690-6721
Provider Business Mailing Address Details
- Address
- Po Box 265
Oneco, CT 06373-0265 - City
- Oneco
- State
- CT
- Zip
- 06373-0265
License Information
- License Number
- 146561574
- License State
- CT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Oneco, CT
View all Specialists in Oneco →Frequently Asked Questions
What is the NPI number of Mrs. Kelly Capobianco, ATC, CSCS?
The NPI number of Mrs. Kelly Capobianco, ATC, CSCS is 1437203577. It was assigned on January 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly Capobianco, ATC, CSCS?
Mrs. Kelly Capobianco, ATC, CSCS is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 146561574.
Where does Mrs. Kelly Capobianco, ATC, CSCS practice?
The practice location is 1013 Plainfield Pike, Oneco, CT 06373. The office can be reached at 860-690-6721 (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 1437203577 directly on the NPPES registry website.