1. Home
  2. Directory
  3. Maryland
  4. Accident
  5. Specialist Technologist
  6. NPI Profile

BENJAMIN KENNETH KELLY LAT, ATC, ITAT
NPI 1912570862
Specialist/Technologist - Athletic Trainer in Accident, MD

Active since July 19, 2021
86 PRIDE PKWY, ACCIDENT, MD 21520(301) 746-8668 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Kenneth Kelly Lat, Atc, Itat NPPES

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

BENJAMIN KENNETH KELLY LAT, ATC, ITAT (NPI 1912570862) is an individual athletic trainer provider in Accident, Maryland, licensed in Maryland (A0000671) and active in the NPI registry since July 2021. He maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1912570862
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBENJAMIN KENNETH KELLYCredential: LAT, ATC, ITAT
Location Address86 PRIDE PKWYAccident, MD 21520-2006
Mailing Address305 Dorn AveCumberland, MD 21502-3225 · (240) 362-3188
Phone(301) 746-8668
Sole ProprietorYes
Enumeration DateJuly 19, 2021
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1912570862 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
Licenses✔ Licensed in MD · A0000671✔ Licensed in WV · AT001691
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.
86 PRIDE PKWY, Accident, MD 21520
Open in Google Maps ↗

Secondary Practice Location 1

Location 1770 Dennett RdOakland, MD 21550-1419 · Phone (301) 746-8668 ext. 2222

Other Providers at the Same Location NPPES

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

MS. TERRY J STOUGH ATC
Specialist/Technologist (Athletic Trainer)
86 PRIDE PKWY
ACCIDENT, MD 21520
Garrett County (301) 746-8668

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 Benjamin Kelly's NPI number?

The NPI number for Benjamin Kelly is 1912570862. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Benjamin Kelly located?

Benjamin Kelly practices at 86 Pride Pkwy, Accident, MD 21520. The listed phone number is (301) 746-8668.

What is Benjamin 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 Benjamin Kelly was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.