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MR. CONN OSCAR KELLY
NPI 1013637925
Student in an Organized Health Care Education/Training Program in Kent, OH

Active since August 31, 2022
350 MIDWAY DRIVE, KENT, OH 44242(802) 598-1282 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Aug 31, 2022 (2 updates tracked since 2022).

About Mr. Conn Oscar Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CONN OSCAR KELLY (NPI 1013637925) is an individual student in an organized health care education/training program in Kent, Ohio and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1013637925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CONN OSCAR KELLY
Location Address350 MIDWAY DRIVEKent, OH 44242-0001
Mailing Address2914 Green RdShaker Heights, OH 44122-3052 · (802) 598-1282
Phone(802) 598-1282
Sole ProprietorYes
Enumeration DateAugust 31, 2022
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1013637925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
350 MIDWAY DRIVE, Kent, OH 44242
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL KULP MS, ATC, NREMT
Specialist/Technologist (Athletic Trainer)
350 MIDWAY DRIVE
KENT, OH 44242
Portage County (301) 351-9118
DR. JAY JONAS ATC, AT
Specialist/Technologist (Athletic Trainer)
350 MIDWAY DRIVE
KENT, OH 44242
Portage County (330) 356-0598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conn Kelly's NPI number?

The NPI number for Conn Kelly is 1013637925. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Conn Kelly located?

Conn Kelly practices at 350 Midway Drive, Kent, OH 44242. The listed phone number is (802) 598-1282.

What is Conn Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Conn Kelly was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.