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

Edward Robert Kelly

Individual provider Athletic Trainer · NPI 1891344024

Edward Robert Kelly is an Athletic Trainer in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

512 N Campus
Ithaca, NY 14853-6007
Phone: (607) 255-4237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 000039 (NY)

Record details

NPI number1891344024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address214 E Upland Rd, Ithaca, NY 14850-2255

Other providers in Ithaca