KELLY BLY ATC NPI 1851700322

NPI Information

  • NPI: 1851700322
  • Provider Name: KELLY BLY, ATC
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 41 LOWER NEWTOWN RD
    WATERFORD, NY
    ZIP 12188
  • Phone: (518) 391-5217

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NPI Details

Kelly Bly, ATC is a student in an organized health care education training program in Waterford, NY. The provider is 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. Kelly Bly, ATC NPI is 1851700322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41 LOWER NEWTOWN RD
WATERFORD, NY
ZIP 12188
Phone: (518) 391-5217

The enumeration date for this NPI number is 8/8/2014 and was last updated on 8/8/2014.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramRT005900PENNSYLVANIAYes

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: 3/30/2025

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