Mr. Kyle J Peckham, ATC
Specialist/Technologist, Athletic Trainer in Essex Junction, Vermont
1861889206- Practice location
- 10 Edgewood Dr, Essex Junction, VT 05452-3073
- Phone
- 802-734-6364
- Fax
- —
- Last updated
- December 10, 2015
Kyle J Peckham is a Specialist/Technologist, Athletic Trainer based in Essex Junction, VT. Kyle J Peckham practices in Essex Junction, VT and has the professional credentials of ATC. The NPI Number for Kyle J Peckham is 1861889206. The current practice location address for Kyle J Peckham is 10 Edgewood Dr, Essex Junction, VT 05452-3073 and can be reached out via phone at 802-734-6364.
Provider Profile Details
- NPI Number
- 1861889206
- Provider Name
- Kyle J Peckham
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Edgewood Dr, Essex Junction, VT 05452-3073
- Phone Number
- 802-734-6364
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 23, 2015
- Last Update Date
- December 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Edgewood Dr
Essex Junction, VT 05452-3073 - City
- Essex Junction
- State
- Vermont
- Zip
- 05452-3073
- Phone Number
- 802-734-6364
Provider Business Mailing Address Details
- Address
- 10 Edgewood Dr
Essex Junction, VT 05452-3073 - City
- Essex Junction
- State
- VT
- Zip
- 05452-3073
- Phone Number
- 802-734-6364
License Information
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Essex Junction, VT
View all Specialist/Technologist, Athletic Trainers in Essex Junction →- Angie M Montcalm, MED, ATC, CSCSSpecialist/Technologist, Athletic Trainer · NPI 1124465463
- Christina Keating, ATCSpecialist/Technologist, Athletic Trainer · NPI 1689927006
- Dr. Jeremy S Sibold, ATCSpecialist/Technologist, Athletic Trainer · NPI 1598316507
- Jessica M Hall, ATCSpecialist/Technologist, Athletic Trainer · NPI 1417072786
- Jordan HinesSpecialist/Technologist, Athletic Trainer · NPI 1477190320
- Krista Campbell, ATCSpecialist/Technologist, Athletic Trainer · NPI 1508265158
Frequently Asked Questions
What is the NPI number of Mr. Kyle J Peckham, ATC?
The NPI number of Mr. Kyle J Peckham, ATC is 1861889206. It was assigned on April 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Mr. Kyle J Peckham, ATC?
Mr. Kyle J Peckham, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).
Where does Mr. Kyle J Peckham, ATC practice?
The practice location is 10 Edgewood Dr, Essex Junction, VT 05452-3073. The office can be reached at 802-734-6364 (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 1861889206 directly on the NPPES registry website.