DONOVAN KELLY LAT, ATC - NPI 1427611722 - Specialist/Technologist in Brockton, MA

Q: What is Donovan Kelly's NPI number?

The NPI number for Donovan Kelly is 1427611722. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Q: What is Donovan Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donovan Kelly was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Donovan Kelly Lat, Atc NPPES

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

DONOVAN KELLY LAT, ATC (NPI 1427611722) is an individual athletic trainer provider in Brockton, Massachusetts, licensed in Massachusetts (3125) and active in the NPI registry since April 2019. He maintains a secondary practice location in Holbrook.

NPPES Registry Identity

NPI1427611722

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameDONOVAN KELLYCredential: LAT, ATC

Location Address110 LIBERTY STBrockton, MA 02301-5674

Mailing Address1010 Middle St Apt 6Weymouth, MA 02188-3958 · (802) 299-8250

Phone(508) 565-3055

Sole ProprietorNo

Enumeration DateApril 22, 2019

✔ NPI 1427611722 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

License✔ Licensed in MA · 3125

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.

110 LIBERTY ST, Brockton, MA 02301

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Secondary Practice Location 1

Location 1245 S Franklin StHolbrook, MA 02343-1494 · Phone (802) 299-8250

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.

MR. RICHARD DUONG PA-C

Physician Assistant