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KELLY ANN KOENIG
NPI 1083184154
Specialist/Technologist - Athletic Trainer in Manning, SC

Active since November 30, 2018
1376 BREAM AVE, MANNING, SC 29102(803) 460-1521 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2021, Nov 30, 2018 (2 updates tracked since 2018).

About Kelly Ann Koenig NPPES

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

KELLY ANN KOENIG (NPI 1083184154) is an individual athletic trainer provider in Manning, South Carolina and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1083184154
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELLY ANN KOENIG
Location Address1376 BREAM AVEManning, SC 29102-8456
Mailing Address1376 Bream AveManning, SC 29102-8456 · (803) 460-1521
Phone(803) 460-1521
Sole ProprietorYes
Enumeration DateNovember 30, 2018
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1083184154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1376 BREAM AVE, Manning, SC 29102
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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 Koenig's NPI number?

The NPI number for Kelly Koenig is 1083184154. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Kelly Koenig located?

Kelly Koenig practices at 1376 Bream Ave, Manning, SC 29102. The listed phone number is (803) 460-1521.

What is Kelly Koenig's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kelly Koenig was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.