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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN JAY HEROD, ATC

Active Sole Proprietor

KEVIN JAY HEROD, ATC is a Athletic Trainer healthcare provider located in COLUMBIA, South Carolina. NPI 1679908339 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · COLUMBIA, SC

Registration Details

NPI Number
1679908339
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2013 (12.912908809453 yrs)
Last Updated
Sep 12, 2013
Sole Proprietor
Yes

Practice Information

Address
2 MEDICAL PARK RD STE 404
COLUMBIA, SC, 292036875
Browse SC providers · Browse ZIP 29203
Phone
8034348288
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in COLUMBIA, SC

Name Credential NPI
MR. JOHN JOSEPH KASIK SR. ATC, CPED 1003809476
MS. SALLIE C WALLACE ATC 1386601516
FREDRICK ANTHONY GARDIN ATC, CSCS, USAW 1205933454
MRS. JENNIFER RENEE HEROD ATC 1871691683
MR. JOSEPH M MURPHY ATC 1518053396
BRADLEY EUGENE YEARGIN ATC 1346385952
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.