Jessica Kendall, ATC, LAT
Specialist/Technologist, Athletic Trainer in Myrtle Beach, South Carolina
1194048736- Practice location
- 579 Burcale RD, Myrtle Beach, SC 29579-8329
- Phone
- 801-243-8901
- Fax
- —
- Last updated
- March 10, 2010
Jessica Kendall is a Specialist/Technologist, Athletic Trainer based in Myrtle Beach, SC. Jessica Kendall practices in Myrtle Beach, SC and has the professional credentials of ATC, LAT. The NPI Number for Jessica Kendall is 1194048736 and holds a License No. 67110614810 (UT). The current practice location address for Jessica Kendall is 579 Burcale RD, Myrtle Beach, SC 29579-8329 and can be reached out via phone at 801-243-8901.
Provider Profile Details
- NPI Number
- 1194048736
- Provider Name
- Jessica Kendall
- Credential
- ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 579 Burcale RD, Myrtle Beach, SC 29579-8329
- Phone Number
- 801-243-8901
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 10, 2010
- Last Update Date
- March 10, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 579 Burcale RD
Myrtle Beach, SC 29579-8329 - City
- Myrtle Beach
- State
- South Carolina
- Zip
- 29579-8329
- Phone Number
- 801-243-8901
Provider Business Mailing Address Details
- Address
- 28 Hammond RD
Falmouth, ME 04105-1910 - City
- Falmouth
- State
- ME
- Zip
- 04105-1910
- Phone Number
- 801-243-8901
License Information
- License Number (1)
- 67110614810
- License State (1)
- UT
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 1124
- License State (2)
- SC
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jessica Kendall, ATC, LAT?
The NPI number of Jessica Kendall, ATC, LAT is 1194048736. It was assigned on March 10, 2010 and is currently active in the NPPES registry.
What is the specialty of Jessica Kendall, ATC, LAT?
Jessica Kendall, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in UT under license number 67110614810.
Where does Jessica Kendall, ATC, LAT practice?
The practice location is 579 Burcale RD, Myrtle Beach, SC 29579-8329. The office can be reached at 801-243-8901 (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 1194048736 directly on the NPPES registry website.