Active NPIIndividual provider

Courtney D Kenefick, ATC

Specialist/Technologist, Athletic Trainer in Salt Lake City, Utah

NPI Number1144705716
Practice location
201 Presidents Cir, Salt Lake City, UT 84112-9049
Fax
—
Last updated
September 30, 2018

Courtney Diane Kenefick is a Specialist/Technologist, Athletic Trainer based in Salt Lake City, UT. Courtney Diane Kenefick practices in Salt Lake City, UT and has the professional credentials of ATC. The NPI Number for Courtney Diane Kenefick is 1144705716 and holds a License No. 10770591-4810 (UT). The current practice location address for Courtney Diane Kenefick is 201 Presidents Cir, Salt Lake City, UT 84112-9049 and can be reached out via phone at 801-585-3861.

Provider Profile Details

NPI Number
1144705716
Provider Name
Courtney Diane Kenefick
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
201 Presidents Cir, Salt Lake City, UT 84112-9049
Phone Number
801-585-3861
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
September 30, 2018
Last Update Date
September 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Presidents Cir
Salt Lake City, UT 84112-9049
State
Utah
Zip
84112-9049
Phone Number
801-585-3861
Salt Lake City, UT 84112Get directions →

Provider Business Mailing Address Details

Address
9 Vista Dr
Shrewsbury, MA 01545-2025
City
Shrewsbury
State
MA
Zip
01545-2025
Phone Number
774-249-9293

License Information

License Number
10770591-4810
License State
UT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtney D Kenefick, ATC?

The NPI number of Courtney D Kenefick, ATC is 1144705716. It was assigned on September 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Courtney D Kenefick, ATC?

Courtney D Kenefick, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in UT under license number 10770591-4810.

Where does Courtney D Kenefick, ATC practice?

The practice location is 201 Presidents Cir, Salt Lake City, UT 84112-9049. The office can be reached at 801-585-3861 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144705716 directly on the NPPES registry website.

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