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

MS. Mackenzie Rose Kelly

Individual provider Athletic Trainer · NPI 1306582085

MS. Mackenzie Rose Kelly is an Athletic Trainer in Valrico, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone: (813) 978-9700
Fax: (813) 558-6185
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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 AL6350 (FL)

Record details

NPI number1306582085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2022
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022

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