Kelvin Allen Swope, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-009560 Issued in AZ

Practice address

3700 Willow Creek Rd BLDG 80
Prescott, AZ 86301-3720

Phone

(520) 732-8876

NPI assigned

Jul 20, 2023

Sex

Male

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1558041996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 BOB DR APT B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148683",
            "telephone_number": "520-732-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILLOW CREEK RD BLDG 80",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013720",
            "telephone_number": "520-732-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOPE",
        "first_name": "KELVIN",
        "middle_name": "ALLEN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-009560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Swart
• Shannon Kim Sweeney, L.M.T
• Stanley K Sweet, DDS
• Teri Sweginnis, FNP-C
• Melissa Y. Swinehart, LMT
• Anna M Symond, PA-C, L.AC.
• Allan Szeto, DMD
• Juanita Tabarez, MS
• Brittany Taylor Taghon, PHARMD
• Astrid Taliento, RN

• Athletic Trainer in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.