MR. DENNIS WILLIAM KELLINGTON MA ATC NPI 1205869500

NPI Information

NPI: 1205869500
Provider Name: MR. DENNIS WILLIAM KELLINGTON, MA, ATC
Classification: Specialist/Technologist - 225500000X
Entity Type: Individual
Address:
MANLEY FIELD HOUSE
SYRACUSE, NY
ZIP 13244
Phone: (315) 443-4775
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MR. Dennis William Kellington, MA, ATC is a specialist technologist in Syracuse, NY. The provider is general classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure. MR. Dennis William Kellington, MA, ATC NPI is 1205869500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MANLEY FIELD HOUSE
SYRACUSE, NY
ZIP 13244-020
Phone: (315) 443-4775
Fax: (315) 443-5057

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225500000X	Specialist/Technologist		001364-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001364-1	OTHER	NEW YORK	ATHLETIC TRAINER LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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