Scott Baughman, ATC
Individual provider Active NPI Athletic Trainer · Hodgenville, KY
NPI 1184140352 · NPPES record last updated Aug 18, 2017
Key facts
- NPI
- 1184140352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT606 (KY)
- Practice address
- 202 Patterson Ave
Hodgenville, KY 42748-1418 - Phone
- (270) 403-8365
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT606 | KY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT606 | KY | Yes |
Addresses
Primary practice location
202 Patterson Ave
Hodgenville, KY 42748-1418
Mailing address
202 Patterson Ave
Hodgenville, KY 42748-1418
Other providers in Hodgenville, KY
- 0424 Inc
- Archer Interventions
- Baptist Health Medical Group Inc
- Douglas L. Baumgardner
- Micheala Jade Benningfield
- Boley Family Dre PLLC
- Steven Scott Boley
- Colleen Elizabeth Bosley
All providers in Hodgenville, KY · Athletic Trainer in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2017. 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.