Mackenzie Rose Kelly

Athletic Trainer · Valrico, FL

Individual Active NPI

NPI number 1306582085

Practice location

1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone
(813) 978-9700
Fax
(813) 558-6185

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NPI record

NPI
1306582085
Entity type
Individual (Type 1)
Enumeration date
May 6, 2022
Last updated
May 6, 2022
Certified
May 6, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AL6350 FL

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone
(813) 978-9700
Fax
(813) 558-6185

About Mackenzie Kelly

Mackenzie Rose Kelly is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1586 Bloomingdale Ave, Valrico, FL 33596-6101. The NPI number 1306582085 was assigned on May 6, 2022 and the record was last updated on May 6, 2022.

Mackenzie Kelly lists a license in the registry: #AL6350 (FL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mackenzie Rose Kelly?

The NPI number is 1306582085.

What is the phone number of Mackenzie Kelly?

The phone number listed for the practice location is (813) 978-9700.

Where is Mackenzie Kelly located?

1586 Bloomingdale Ave, Valrico, FL 33596-6101.

What is the taxonomy code for Mackenzie Kelly?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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