Kim Kandler, MED, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

203-039 Issued in WI

Practice address

820 E Grant St
Appleton, WI 54911-3483

Phone

(920) 716-8139

Fax

(920) 531-2056

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1255395877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SULLIVAN AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E GRANT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113483",
            "telephone_number": "920-716-8139",
            "fax_number": "920-531-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDLER",
        "first_name": "KIM",
        "credential": "MED, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "203-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rami S. Kaldas, M.D.
• Leila Aicha Kamel, MS, CF-SLP
• Shayna Kamin, DO
• Jeyakumar Kandaraj, MD
• Collin Carl Kandler, PA-C
• Steven P Kaplan, PH D
• Matthew R Kappelman
• Samantha Sue Kapphahn, D.O.
• Srikar Karanam, D.O
• Alyssa Anne Mallon Karpa, RN

• Athletic Trainer in Appleton, WI
• Providers in Appleton, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.