Kelly L Hockenberger, ATC
Individual provider Active NPI Athletic Trainer · Millfield, OH
NPI 1487092896 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1487092896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 003034 (OH)
- Practice address
- 9471 Highfield Dr
Millfield, OH 45761-9050 - Phone
- (740) 797-0527
- NPI assigned
- Jun 7, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003034 | OH | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003034 | OH | Yes |
Addresses
Primary practice location
9471 Highfield Dr
Millfield, OH 45761-9050
Mailing address
9471 Highfield Dr
Millfield, OH 45761-9050
Phone (740) 797-0527
Other providers in Millfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. 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.