NPI 1528125036

Steven William Kennelly, ATC

Practitioner Athletic Trainer East Rutherford, NJ

Practice location

Address: Giants Stadium, East Rutherford, NJ 07436
Phone: (201) 939-5812
Mailing address: 11 Cherokee Trl, Oakland, NJ 07436-3011

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00032500 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1528125036
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2007
Record last updated: 8 Jul 2007

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.