Sean E Kelbach

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004968 Issued in OH

Practice address

6100 Whipple Ave NW
North Canton, OH 44720

Phone

(330) 244-8113

NPI assigned

Dec 18, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1689180374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 CASCADES BLVD APT 310",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442408041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-244-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 6th St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-452-9911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4824 Tuscarawas St W",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447085198",
            "country_code": "US",
            "telephone_number": "330-478-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELBACH",
        "first_name": "SEAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "004968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Keen
• Michele Keenan, RPH
• Jared C Keener, LPTA
• Jody M Keith, PTA
• Linda J. Keith, D.O.
• Cassie Keller
• Jeffrey S Keller, OTR/L
• Stacey Lynn Keller, PA-C
• Pamela Jo Kelley
• Kelly R Overcasher Aud, Inc

• Athletic Trainer in North Canton, OH
• Providers in North Canton, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.