Kelly Lynn Holzberger, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2860 Hilyer Dr
Columbus, GA 31907-2243

Phone

(845) 546-0087

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1104344597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 HILYER DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072243",
            "telephone_number": "845-546-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 HILYER DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072243",
            "telephone_number": "845-546-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZBERGER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyleatha Holt
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• Kevin William Holtzman, PHARM.D., RPH
• Elizabeth Sein-Hui Holve, CPNP-PC
• Michelle Holy
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• Hometown Medical Equipment
• Margenell Honey

• Athletic Trainer in Columbus, GA
• Providers in Columbus, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.