KELLY QUACKENBUSH – Athletic Trainer, NPI 1083189674

KELLY QUACKENBUSH is a healthcare provider. based in Land o lakes, Florida. specializing in Athletic Trainer. They hold a License No. AL3807 (FL). The NPI Number for KELLY QUACKENBUSH is 1083189674

Main info

Female
Name
KELLY QUACKENBUSH
NPI
1083189674
Phone
Not provided
Address
22830 COLLRIDGE DR
Enumeration Date
10 October 2018
Last Update Date
10 October 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY QUACKENBUSH

  • 22830, Collridge Drive, Land O' Lakes, Pasco County, Florida, 34639, United States

    LAND O LAKES, FL 346394075

    Phone:

    Type: Mailing

  • 34th Street West, Bradenton, Manatee County, Florida, 34205, United States

    BRADENTON, FL 342103506

    Phone: (941) 739-7476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34639)

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Reviews

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Frequently asked questions

What is the standard ID for KELLY QUACKENBUSH in the U.S.?
In the U.S., KELLY QUACKENBUSH is identified by NPI 1083189674.
Quick check: is KELLY QUACKENBUSH active?
Public NPPES data shows KELLY QUACKENBUSH with an active NPI status right now.
What does the directory say KELLY QUACKENBUSH does?
Insurance directories may phrase it differently, but here KELLY QUACKENBUSH maps to Athletic Trainer. Clinical services aligned with this taxonomy classification.
Is KELLY QUACKENBUSH tied to Land O Lakes, Florida?
If you are local to Land O Lakes, Florida, KELLY QUACKENBUSH may be relevant to your search.
Can I export KELLY QUACKENBUSH's record?
You can download the official NPPES record; we summarize key fields for readability.

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