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

Justin Kelly

Individual provider Athletic Trainer · NPI 1720415060

Justin Kelly is an Athletic Trainer in Radford, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2013

Practice location Address checks out

9 Windstream Ct
Radford, VA 24141-3161 Not confirmed with CMS for 12 years — call before visiting
Phone: (540) 250-5857
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126001971 (VA)

Record details

NPI number1720415060
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2013
Last updated in NPPESOctober 1, 2013

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