Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEN GATZEMEYER
ActiveAthletic Trainer · HERCULANEUM, MO
Registration Details
- NPI Number
- 1982001608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 24, 2014 (11.457235332099 yrs)
- Last Updated
- Nov 24, 2014
- License
-
2014008745 (MO)
Practice Information
- Address
-
2116 PROVIDENCE PARK LNHERCULANEUM, MO, 630481714Browse MO providers · Browse ZIP 63048
- Phone
- 5735350144
- 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.