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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY MARIE KOHBERGER
NPI 1033024542
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since August 18, 2026
1419 SALT SPRINGS RD, SYRACUSE, NY 13214(315) 445-4100 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Marie Kohberger NPPES

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

KELLY MARIE KOHBERGER (NPI 1033024542) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1033024542
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY MARIE KOHBERGER
Location Address1419 SALT SPRINGS RDSyracuse, NY 13214-1301
Mailing Address1419 Salt Springs RdSyracuse, NY 13214-1301 · (315) 445-4100
Phone(315) 445-4100
Sole ProprietorNo
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1033024542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1419 SALT SPRINGS RD, Syracuse, NY 13214
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Other Providers at the Same Location NPPES 20

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

LOGAN MICHEL
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
OLIVIA CREELMAN
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
EMMA BARTELT
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (786) 365-6133
MALACHI XAVIER WILLIAMS
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
ANNA CECELIA BOWYER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
JODIE CHONG
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
GABRIELLE SWIDER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
MUNO SHEEKH NUUR
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100

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 Kelly Kohberger's NPI number?

The NPI number for Kelly Kohberger is 1033024542. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Kelly Kohberger located?

Kelly Kohberger practices at 1419 Salt Springs Rd, Syracuse, NY 13214. The listed phone number is (315) 445-4100.

What is Kelly Kohberger'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 Kelly Kohberger was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.