Active NPI
Kenneth Paul Henke, ATC, BA
- Athletic Trainer
- Florence, KY
National Provider Identifier
1023239183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT508
- Practice address
- 7570 US Highway 42
Florence, KY 41042-2324 - Phone
- (859) 283-0707
- Fax
- (859) 647-3022
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT508 | KY | Primary |
Addresses
Primary practice location
7570 US Highway 42
Florence, KY 41042-2324
Mailing address
274 Fairway Dr
Dry Ridge, KY 41035-8505
Phone (859) 428-3731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT508 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023239183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 FAIRWAY DR",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "410358505",
"telephone_number": "859-428-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7570 US HIGHWAY 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410422324",
"telephone_number": "859-283-0707",
"fax_number": "859-647-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKE",
"first_name": "KENNETH",
"middle_name": "PAUL",
"credential": "ATC, BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.