Active NPIIndividual provider

Mr. Steven W Kennelly, ATC

Specialist/Technologist, Athletic Trainer in East Rutherford, New Jersey

NPI Number1528125036
Practice location
Giants Stadium, East Rutherford, NJ 07436
Fax
—
Last updated
July 8, 2007

Steven William Kennelly is a Specialist/Technologist, Athletic Trainer based in East Rutherford, NJ. Steven William Kennelly practices in East Rutherford, NJ and has the professional credentials of ATC. The NPI Number for Steven William Kennelly is 1528125036 and holds a License No. 25MT00032500 (NJ). The current practice location address for Steven William Kennelly is Giants Stadium, East Rutherford, NJ 07436 and can be reached out via phone at 201-939-5812.

Provider Profile Details

NPI Number
1528125036
Provider Name
Steven William Kennelly
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
Giants Stadium, East Rutherford, NJ 07436
Phone Number
201-939-5812
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Giants Stadium
East Rutherford, NJ 07436
Zip
07436
Phone Number
201-939-5812
East Rutherford, NJ 07436Get directions →

Provider Business Mailing Address Details

Address
11 Cherokee Trl
Oakland, NJ 07436-3011
City
Oakland
State
NJ
Zip
07436-3011

License Information

License Number
25MT00032500
License State
NJ
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 Mr. Steven W Kennelly, ATC?

The NPI number of Mr. Steven W Kennelly, ATC is 1528125036. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Steven W Kennelly, ATC?

Mr. Steven W Kennelly, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00032500.

Where does Mr. Steven W Kennelly, ATC practice?

The practice location is Giants Stadium, East Rutherford, NJ 07436. The office can be reached at 201-939-5812 (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 1528125036 directly on the NPPES registry website.

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