Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN BLANCO
ActiveKEVIN BLANCO is a Athletic Trainer healthcare provider located in MONTREAT, North Carolina. NPI 1104362581 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MONTREAT, NC
Registration Details
- NPI Number
- 1104362581
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2017 (9.5516236485348 yrs)
- Last Updated
- Jan 10, 2017
- Licenses
-
39540533 (NC)39540533 (NC)
Practice Information
- Address
-
163 VIRGINIA RDMONTREAT, NC, 28757Browse NC providers · Browse ZIP 28757
- Phone
- 7047400657
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
Other Athletic Trainer Providers in MONTREAT, NC
| Name | Credential | NPI |
|---|---|---|
| CHRIS ANDERSON | ATC | 1194172957 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.