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Benjamin Kelly, LAT, ATC, ITAT — NPI 1912570862, Accident, MD | NPI Central

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NPI 1912570862

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Benjamin Kelly, LAT, ATC, ITAT

NPI 1912570862 · Athletic Trainer · Accident, MD

Provider details

NPI number: 1912570862
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: LAT, ATC, ITAT
Sex: Male
Sole proprietor: Yes
License: AT001691 (WV)

Specialties & taxonomies

Athletic TrainerPrimary2255A2300XLicense A0000671 (MD)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Athletic Trainer2255A2300XLicense AT001691 (WV)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

86 Pride Pkwy

Accident, MD 21520-2006

Phone: (301) 746-8668

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

305 Dorn Ave

Cumberland, MD 21502-3225

Additional practice locations (1)

770 Dennett Rd
Oakland, MD 21550-1419
Phone: (301) 746-8668

Registry dates

Enumerated: 2021-07-19
Last updated: 2024-05-30
Certified: 2024-05-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.