Individual provider · Type 1 NPI

Kelly Ryan Machuca, MD

Sports Medicine (Family Medicine) Physician · Williamsport, PA

NPI number 1255915930 Active

Practice location

700 High St
Williamsport, PA 17701-3100

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XMD489557 (PA)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

254 other providers at this address

About NPI 1255915930

Kelly Ryan Machuca, MD's National Provider Identifier is 1255915930, issued on May 10, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Williamsport, PA. The record was last updated on Apr 29, 2026.