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TIMOTHY WHITE KELLY MED ATC-L
NPI 1760906580
Specialist/Technologist - Athletic Trainer in Charlotte, NC

Active since August 02, 2017
9502 PROVIDENCE RD, CHARLOTTE, NC 28277(704) 846-7219(704) 846-7219 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy White Kelly Med Atc-l NPPES

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

TIMOTHY WHITE KELLY MED ATC-L (NPI 1760906580) is an individual athletic trainer provider in Charlotte, North Carolina, licensed in North Carolina (1403) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1760906580
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTIMOTHY WHITE KELLYCredential: MED ATC-L
Location Address9502 PROVIDENCE RDCharlotte, NC 28277-8695
Mailing Address9502 Providence RdCharlotte, NC 28277-8695 · (704) 846-7219
Phone(704) 846-7219
Fax(704) 846-7219
Sole ProprietorYes
Enumeration DateAugust 2, 2017
✔ NPI 1760906580 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 NC · 1403
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.
9502 PROVIDENCE RD, Charlotte, NC 28277
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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.

MS. MARIANNA SPERO LAT, ATC
Specialist/Technologist (Athletic Trainer)
9502 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 846-1100
COLIN AMAND MURRAY
Specialist/Technologist (Athletic Trainer)
9502 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 846-1100

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1760906580. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Timothy Kelly located?

Timothy Kelly practices at 9502 Providence Rd, Charlotte, NC 28277. The listed phone number is (704) 846-7219.

What is Timothy Kelly'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 Timothy Kelly was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.