Kearstyn Marquis Moore, ATC
Individual provider Active NPI Athletic Trainer · Newcomerstown, OH
NPI 1639699382 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1639699382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 486 S River St
Newcomerstown, OH 43832-1444 - Phone
- (330) 556-9370
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
486 S River St
Newcomerstown, OH 43832-1444
Mailing address
486 S River St
Newcomerstown, OH 43832-1444
Phone (330) 556-9370
Other providers in Newcomerstown, OH
- Medical Services of Coshocton, Inc
- Medical Services of Coshocton, Inc
- Corey Allen Meeks
- Timothy Joseph Merrill
- Denise K Miller
- Nancy Jo Moore
- Misty Jo Neal
- Neidig Health Care LTD
- Neidig Health Care LTD
- Neidig Health Care LTD
All providers in Newcomerstown, OH · Athletic Trainer in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.