Trace Edward Fleming
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kerman, CA
NPI 1063907673 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1063907673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 13038 W Annadale Ave
Kerman, CA 93630-9102 - Phone
- (559) 283-7421
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
13038 W Annadale Ave
Kerman, CA 93630-9102
Mailing address
13038 W Annadale Ave
Kerman, CA 93630-9102
Phone (559) 283-7421
Other providers in Kerman, CA
- Eminence Healthcare Services, LLC
- Roxanne Guzman Empleo
- Erick N Cuenca DMD Inc
- Jennifer Karina Esparza
- Andrea Farias Aceves
- Nichole Andrea Flores
- Kimberly Vanessa Galbreath
- Maria Araseli Gamez Larreynaga
- Josilynn Garcia
- San Juan Garza
All providers in Kerman, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2018. 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.