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

Timothy White Kelly, MEDATC-L

Individual provider Athletic Trainer · NPI 1760906580

Timothy White Kelly, MEDATC-L is an Athletic Trainer in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017

Practice location Address checks out

9502 Providence Rd
Charlotte, NC 28277-8695
Phone: (704) 846-7219
Fax: (704) 846-7219
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1403 (NC)

Record details

NPI number1760906580
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDATC-L
Sole proprietorYes
NPI enumeratedAugust 2, 2017
Last updated in NPPESAugust 2, 2017

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