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Contact Information

WILLIAM A KELLY IV, ATC
1520 HURST ST
FORT BRAGG, NC28308
 Phone: 910-394-1698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for WILLIAM A KELLY IV · (Male)

NPI Number 1770138018
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/05/2019
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AT5181
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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