Kerry Wimberly is a Athletic Trainer in Lubbock, Texas. Kerry Wimberly practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kerry Wimberly is 1902992738. The last update date is 2007-07-08.
Kerry Wimberly's current location address is 4601 S. Loop 289 #11, Lubbock, Texas. You can contact this provider via phone number 8067927200 and fax number 8067927225. The mailing address for Kerry Wimberly is 4601 S. Loop 289 #11, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Wimberly |
|---|---|
| Address | 4601 S. Loop 289 #11, Lubbock, Texas |
| Phone Number | 8067927200 |
| Fax Number | 8067927225 |
| Sole Proprietor | N |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1902992738 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4601 S. Loop 289 #11 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 79424 |
| Phone Number | 8067927200 |
| Fax Number | 8067927225 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT1390 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AT1390 | TX | LICENSED ATHLETIC TRAINER |
Post Comment/ Review Below
What is the unique identifier code issued to Kerry Wimberly by the Centers for Medicare & Medicaid Services (CMS)?
The Kerry Wimberly has been assigned the NPI (National Provider Identifier) 1902992738. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kerry Wimberly's physical address?
The Kerry Wimberly is physically located at 4601 S. Loop 289 #11, in the city of Lubbock, TX, with the postal code 79424.
What is Kerry Wimberly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kerry Wimberly is Athletic Trainer, and the taxonomy code that categorizes this field of expertise is 2255A2300X.
On what date did the Kerry Wimberly receive the assignment of its 1902992738 from the Centers for Medicare & Medicaid Services?
The Kerry Wimberly was issued its 1902992738 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details related to Kerry Wimberly most recently updated or revised?
The information pertaining to Kerry Wimberly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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