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

Donovan Kelly, LAT, ATC

Individual provider Athletic Trainer · NPI 1427611722

Donovan Kelly, LAT, ATC is an Athletic Trainer in Brockton, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
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

110 Liberty St
Brockton, MA 02301-5674
Phone: (508) 565-3055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 S Franklin St, Holbrook, MA 02343-1494 — (802) 299-8250

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3125 (MA)

Record details

NPI number1427611722
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESApril 22, 2019

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