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

Kelly Bly, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851700322

Kelly Bly, ATC is a Student in an Organized Health Care Education/Training Program in Waterford, New York. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

41 Lowr Newtown RD
Waterford, NY 12188
Phone: (518) 391-5217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RT005900 (PA)

Record details

NPI number1851700322
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014