Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL R. KENNEDY, LAT, ATC
Active Sole ProprietorMR. PAUL R. KENNEDY, LAT, ATC is a Athletic Trainer healthcare provider located in MINDEN, Nevada. NPI 1639182876 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MINDEN, NV
Registration Details
- NPI Number
- 1639182876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (19.957091972422 yrs)
- Last Updated
- May 30, 2024
- License
-
0506033 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1670 NV-88MINDEN, NV, 89423Browse NV providers · Browse ZIP 89423
- Phone
- 7027677424
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.