Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN BRIAN HARGRAVE, ATC, LAT
ActiveMR. KEVIN BRIAN HARGRAVE, ATC, LAT is a Athletic Trainer healthcare provider located in CROWLEY, Louisiana. NPI 1750642120 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CROWLEY, LA
Registration Details
- NPI Number
- 1750642120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2012 (14.164527378861 yrs)
- Last Updated
- Jun 1, 2012
- License
-
ATH.200199 (LA)
Practice Information
- Address
-
1112 S AVENUE FCROWLEY, LA, 705266130Browse LA providers · Browse ZIP 70526
- Phone
- 3378420809
- 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.