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

Individual provider Athletic Trainer · NPI 1023407111

Kassandra Kelly, ATC, LAT is an Athletic Trainer in Statesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

306B Granade St
Statesboro, GA 30458-2058
Phone: (912) 478-7582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT001674 (GA)

Record details

NPI number1023407111
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedJanuary 13, 2015
Last updated in NPPESJanuary 13, 2015

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