Kenneth B Ahlstrom in Bremerton - Athletic Trainer
Kenneth B Ahlstrom - NPI 1689686404
Kenneth B Ahlstrom is a Athletic Trainer in Bremerton, Washington. Kenneth B Ahlstrom practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kenneth B Ahlstrom is 1689686404. The last update date is 2007-07-08.
Kenneth B Ahlstrom's current location address is 6855 Illahee Rd Ne, Bremerton, Washington. You can contact this provider via phone number 3606920956. The mailing address for Kenneth B Ahlstrom is 6855 Illahee Rd Ne, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth B Ahlstrom |
|---|---|
| Address | 6855 Illahee Rd Ne, Bremerton, Washington |
| Phone Number | 3606920956 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1689686404 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6855 Illahee Rd Ne |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983119626 |
| Phone Number | 3606920956 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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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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What is the unique identifier code issued to Kenneth B Ahlstrom by the Centers for Medicare & Medicaid Services?
The Kenneth B Ahlstrom has been assigned the NPI (National Provider Identifier) 1689686404. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth B Ahlstrom's facilities are geographically located?
The facilities of Kenneth B Ahlstrom are physically situated at the following location: 6855 Illahee Rd Ne, Bremerton, WA, 983119626.
What is the Kenneth B Ahlstrom's area of specialization and corresponding taxonomy classification?
The Kenneth B Ahlstrom's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
On what date did the Kenneth B Ahlstrom receive the assignment of its 1689686404 from the Centers for Medicare & Medicaid Services?
The Kenneth B Ahlstrom was issued its 1689686404 by the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date were the details related to Kenneth B Ahlstrom most recently updated or revised?
The information pertaining to Kenneth B Ahlstrom, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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