Kathryn Abdelnour
Individual provider Active NPI Athletic Trainer · West Columbia, SC
NPI 1942899786 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1942899786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1113 (SC)
- Practice address
- 2109 Raven TRL
West Columbia, SC 29169-3747 - Phone
- (803) 727-4214
- NPI assigned
- Jan 15, 2021
- 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 | 1113 | SC | Yes |
Addresses
Primary practice location
2109 Raven TRL
West Columbia, SC 29169-3747
Mailing address
2109 Raven TRL
West Columbia, SC 29169-3747
Phone (803) 727-4214
Other providers in West Columbia, SC
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- A'S Homcare LLC
- A&M Medical, LLC
- Shyrenity Aaron
- Charles Anthony Abercrombie
- Kiara Rena Able
- Carolyn Abrams
- Absolute Companion Home Care LLC
- Accu-Care Health Services, LLC
All providers in West Columbia, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. 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.