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

Kelly Ann Koenig

Individual provider Athletic Trainer · NPI 1083184154

Kelly Ann Koenig is an Athletic Trainer in Manning, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1376 Bream Ave
Manning, SC 29102-8456
Phone: (803) 460-1521
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1083184154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2018
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

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