Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH DAVID HART JR., ATC
ActiveMR. KENNETH DAVID HART JR., ATC is a Athletic Trainer healthcare provider located in JOHNSON CITY, Tennessee. NPI 1972212926 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1972212926
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2022 (3.7404154336898 yrs)
- Last Updated
- Nov 18, 2022
- License
-
AT0000000761 (TN)
Practice Information
- Address
-
410 N STATE OF FRANKLIN RD STE 140JOHNSON CITY, TN, 376046972Browse TN providers · Browse ZIP 37604
- Phone
- 4234312460
- Fax
- 4234312465
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN DAVID JOHNSTON | ATC, OTC | 1891725172 |
| MATTHEW DOUGLAS ADAMS | ATC, OTC | 1619264355 |
| PATRICK CONWAY REYNOLDS | ATC | 1477061869 |
| MATTHEW ZACHARIAH FOOTE | — | 1821595513 |
| STEPHANIE LYNN OWEN | MS, ATC, LAT | 1245720382 |
| JERICA MOORE | MA, ATC | 1174014450 |
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.