Logan Kremer, ATC

Individual provider Active NPI Athletic Trainer · Burlington, KY

NPI 1962854588 · NPPES record last updated Jul 7, 2016

Key facts

NPI
1962854588
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT1317 (KY)
Practice address
5537 Idlewild Rd
Burlington, KY 41005-9797
Phone
(859) 486-0166
NPI assigned
Jul 7, 2016
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
AT1317KYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT1317 KY Yes

Addresses

Primary practice location

5537 Idlewild Rd
Burlington, KY 41005-9797

Mailing address

5537 Idlewild Rd
Burlington, KY 41005-9797
Phone (859) 486-0166

Other providers in Burlington, KY

All providers in Burlington, KY · Athletic Trainer in Kentucky

Sources for this page

Verify at the official NPI Registry.