NPI 1417490764

Jordan Kelley, ATC

Practitioner Athletic Trainer Morehead, KY

Practice location

Address: 195 Academic Athletic Center, Morehead, KY 40351
Phone: (606) 783-2392

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT1270 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1417490764
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2016
Record last updated: 18 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.