Kaylee Mae Hull, MAT, AT, ATC
Individual provider Active NPI Athletic Trainer · Monclova, OH
NPI 1609441104 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1609441104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT006807 (OH)
- Practice address
- 8700 Maumee Western Rd
Monclova, OH 43542-9330 - Phone
- (419) 450-2171
- NPI assigned
- May 26, 2021
- 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 |
|---|---|---|---|
| AT006807 | OH | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT006807 | OH | Yes |
Addresses
Primary practice location
8700 Maumee Western Rd
Monclova, OH 43542-9330
Mailing address
8700 Maumee Western Rd
Monclova, OH 43542-9330
Phone (419) 450-2171
Other providers in Monclova, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. 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.