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

Kellyann Gangaware, LAT, ATC

Individual provider Athletic Trainer · NPI 1841862513

Kellyann Gangaware, LAT, ATC is an Athletic Trainer in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
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.

See every abbreviation used in this directory →

Practice location Address checks out

1414 University Blvd SE
Albuquerque, NM 87131-0001
Phone: (973) 960-7391
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT826 (NM)

Record details

NPI number1841862513
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESMarch 27, 2022
Certification dateMarch 27, 2022

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