Jeffrey Hale

Individual provider Active NPI Athletic Trainer · Nortonville, KS

NPI 1649664384 · NPPES record last updated Mar 19, 2015

Key facts

NPI
1649664384
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
311 Main St
Nortonville, KS 66060-4110
Phone
(785) 806-9060
NPI assigned
Mar 19, 2015
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

311 Main St
Nortonville, KS 66060-4110

Mailing address

311 Main St
Nortonville, KS 66060-4110

Other providers in Nortonville, KS

All providers in Nortonville, KS · Athletic Trainer in Kansas

Sources for this page

Verify at the official NPI Registry.