Denise Kuechenmeister, ATC, PES
Individual provider Active NPI Athletic Trainer · Bethany, WV
NPI 1134486376 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1134486376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 147 Hummel Field House
Bethany, WV 26032-0071 - Phone
- (770) 312-4926
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | Yes |
Addresses
Primary practice location
147 Hummel Field House
Bethany, WV 26032-0071
Mailing address
PO Box 71
Bethany, WV 26032-0071
Phone (770) 312-4926
Other providers in Bethany, WV
All providers in Bethany, WV · Athletic Trainer in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. 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.