Kellie Heinlein, ATC
Individual provider Active NPI Athletic Trainer · Lewes, DE
NPI 1700609773 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1700609773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2000056733 (DE)
- Practice address
- 23143 Prince George Dr
Lewes, DE 19958-5238 - Phone
- (302) 604-9255
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000056733 | DE | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000056733 | DE | Yes |
Addresses
Primary practice location
23143 Prince George Dr
Lewes, DE 19958-5238
Mailing address
23143 Prince George Dr
Lewes, DE 19958-5238
Phone (302) 604-9255
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.