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

Individual provider Athletic Trainer · NPI 1861023343

Mr. Stephen M Kelly is an Athletic Trainer in Sherwood, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

N8021 Lake Breeze Dr
Sherwood, WI 54169-9613
Phone: (920) 989-7934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1861023343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020