Kelly McComiskey, ATC
Specialist/Technologist, Athletic Trainer in Orange Park, FL. Individual provider (NPI-1).
NPI number1699869917
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1699869917
- Entity type
- Individual (NPI-1)
- Name
- Kelly McComiskey
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL1124 | FL | Yes |
Practice location
540 Kingsley AveOrange Park, FL 32073-4847
Phone 904-264-2156
Mailing address
3421 Umbrella Tree DrEdgewater, FL 32141-6520
Phone 386-478-1044
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Orange Park, FL
- Christine Adams, ATCNPI 1033297569
- Emily Kate BartholomewNPI 1679046726
- Michael Boone, ATCNPI 1477646842
- Jennifer Craig, ATCNPI 1225122542
- Garry Gillis, ATCNPI 1679546212
- Matthew J Glogowski, ATCNPI 1104890409
- Gina Graham, ATCNPI 1487747853
- Alexander John HeringtonNPI 1316458094
- Jeffery Leroux, ATCNPI 1487732905
- Amethyst Mann, ATCNPI 1912085440
All 20 Athletic Trainer providers in Orange Park · All 2,903 providers in Orange Park
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.