Hart, Kenneth David

Hart, Kenneth David is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Ste 140 , Johnson City TN 37604-6972. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Hart, Kenneth David can be contacted via phone (423) 431-2460.

Contact Information

Primary practice address
410 N State Of Franklin Rd Ste 140 Johnson City TN 37604-6972
Phone: (423) 431-2460
Fax: (423) 431-2465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0000000761 Tennessee

Profile Details

NPI number 1972212926
LBN Legal business name Hart, Kenneth David
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2022
Last updated Nov 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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