Active NPI
Kalee Kennedy
- Athletic Trainer
- Pullman, WA
National Provider Identifier
1750914339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- Washington State University
160 Cleveland Hall 1155 College Ave
Pullman, WA 99164 - Phone
- (509) 335-3564
- NPI assigned
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
Washington State University
160 Cleveland Hall 1155 College Ave
Pullman, WA 99164
Mailing address
Washington State University
160 Cleveland Hall PO Box 642114 1155 College Ave
Pullman, WA 99164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1750914339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WASHINGTON STATE UNIVERSITY",
"address_2": "160 CLEVELAND HALL PO BOX 642114 1155 COLLEGE AVE",
"city": "PULLMAN",
"state": "WA",
"postal_code": "99164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WASHINGTON STATE UNIVERSITY",
"address_2": "160 CLEVELAND HALL 1155 COLLEGE AVE",
"city": "PULLMAN",
"state": "WA",
"postal_code": "99164",
"telephone_number": "509-335-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.