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1720123375 NPI number — KIMBERLY SUE VENTEICHER ATC

NPI Number: 1720123375
Health Care Provider/Practitioner: KIMBERLY SUE VENTEICHER ATC

Information about “1720123375” NPI (KIMBERLY SUE VENTEICHER ATC) exists in 1720123375 in HTML format HTML  |  1720123375 in plain Text format TXT  |  1720123375 in PDF (Portable Document Format) PDF  |  1720123375 in an XML format XML  formats.

NPI Number : 1720123375 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720123375",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VENTEICHER",
    "FirstName": "KIMBERLY",
    "MiddleName": "SUE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "300 S 18TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ESTHERVILLE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "51334-2721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "712-362-8348",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "300 S 18TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ESTHERVILLE",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "51334-2721",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "712-362-8348",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2007",
    "LastUpdateDate": "12/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "084112",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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