1356792725 NPI number — KATE JOCHIMSEN ATC

Table of content: KATE JOCHIMSEN ATC (NPI 1356792725)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356792725 NPI number — KATE JOCHIMSEN ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOCHIMSEN
Provider First Name:
KATE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ATC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356792725
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1809 MEETING ST
Provider Second Line Business Mailing Address:
APT 6207
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40509-4578
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-948-7812
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIVERSITY OF KENTUCKY
Provider Second Line Business Practice Location Address:
900 SOUTH LIMESTONE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-218-0519
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246Z00000X , with the licence number:  AT1314 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2000009729 . This is a "BOC CERTIFIED ATHLETIC TRAINER" identifier . This identifiers is of the category "OTHER".
  • Identifier: AT1314 . This is a "LICENSED ATHLETIC TRAINER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".