Kaelene Kragenbrink-Voorhees, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

079123 Issued in IA

Practice address

6101 Northwest Blvd
Davenport, IA 52806-1861

Phone

(563) 449-7004

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427575414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W 56TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 NORTHWEST BLVD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528061861",
            "telephone_number": "563-449-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528041804",
            "country_code": "US",
            "telephone_number": "563-326-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAGENBRINK-VOORHEES",
        "first_name": "KAELENE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "079123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nehemiah Sahr Koroma, BEHAVIOR ANALYST
• Robert Koupal, LCSW
• Valerie Lynn Koutny, RPH
• George Kovach, MD
• Yunus Kowi, D.C
• Michael R Kramer, AUDIOLOGIST
• Krystle Krauss, CADC
• Kenneth Robert Krayenhagen, D.C.
• Chelsa Everley Krech, MSN, ARNP, PMHNP-BC
• Cody Krech, D.M.D

• Athletic Trainer in Davenport, IA
• Providers in Davenport, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.