KELLY BLY ATC
NPI 1851700322
Student in an Organized Health Care Education/Training Program in Waterford, NY

Q: What is Kelly Bly's NPI number?

The NPI number for Kelly Bly is 1851700322. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Q: What is Kelly Bly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Bly was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 08, 2014

41 LOWER NEWTOWN RD, WATERFORD, NY 12188(518) 391-5217 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Bly Atc NPPES

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

KELLY BLY ATC (NPI 1851700322) is an individual student in an organized health care education/training program in Waterford, New York, licensed in Pennsylvania (RT005900) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1851700322

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY BLYCredential: ATC

Location Address41 LOWER NEWTOWN RDWaterford, NY 12188

Mailing Address41 Lower Newtown RdWaterford, NY 12188

Phone(518) 391-5217

Sole ProprietorYes

Enumeration DateAugust 8, 2014

✔ NPI 1851700322 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

License✔ Licensed in PA · RT005900

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.

41 LOWER NEWTOWN RD, Waterford, NY 12188

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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 Bly's NPI number?

The NPI number for Kelly Bly is 1851700322. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Kelly Bly located?

Kelly Bly practices at 41 Lower Newtown Rd, Waterford, NY 12188. The listed phone number is (518) 391-5217.

What is Kelly Bly'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 Bly was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.