Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Kenneth Kelly, LAT, ATC, ITAT

Individual provider Athletic Trainer · NPI 1912570862

Benjamin Kenneth Kelly, LAT, ATC, ITAT is an Athletic Trainer in Accident, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland and West Virginia.

Licensed in
MD, WV
In the registry since
2021
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

86 Pride Pkwy
Accident, MD 21520-2006
Phone: (301) 746-8668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 770 Dennett Rd, Oakland, MD 21550-1419 — (301) 746-8668

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A0000671 (MD)
Athletic Trainer Taxonomy 2255A2300X · Licence AT001691 (WV)

Record details

NPI number1912570862
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , ITAT
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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