Healthcare Provider Details

I. General information

NPI: 1689494635
Provider Name (Legal Business Name): DELANEY KUHLMAN MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 WRIGHT BLVD
HEBRON KY
41048-8125
US

IV. Provider business mailing address

5640 WEAVER LN
COLD SPRING KY
41076-3560
US

V. Phone/Fax

Practice location:
  • Phone: 859-334-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT2192
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: