Patrick Kelly

Athletic Trainer · Canton, MO

Individual Active NPI

NPI number 1508676685

Practice location

1 College HL
Canton, MO 63435-1257
Phone
(608) 421-0790

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NPI record

NPI
1508676685
Entity type
Individual (Type 1)
Enumeration date
January 10, 2025
Last updated
January 10, 2025
Certified
January 10, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

1257 Hampshire St
Quincy, IL 62301-3115
Phone
(608) 421-0790

Other practice locations (1)

  • 1257 Hampshire St, Quincy, IL 62301-3115 · (608) 421-0790

About Patrick Kelly

Patrick Kelly is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1 College HL, Canton, MO 63435-1257. The NPI number 1508676685 was assigned on January 10, 2025 and the record was last updated on January 10, 2025.

Frequently asked questions

What is the NPI number of Patrick Kelly?

The NPI number is 1508676685.

What is the phone number of Patrick Kelly?

The phone number listed for the practice location is (608) 421-0790.

Where is Patrick Kelly located?

1 College HL, Canton, MO 63435-1257.

What is the taxonomy code for Patrick 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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