NPI Code Detail JSON Logo

1841183639 NPI number — KEVON FRANCIS CHARLES ATHLETIC TRAINER ATC

NPI Number: 1841183639
Health Care Provider/Practitioner: KEVON FRANCIS CHARLES ATHLETIC TRAINER ATC

Information about “1841183639” NPI (KEVON FRANCIS CHARLES ATHLETIC TRAINER ATC) exists in 1841183639 in HTML format HTML  |  1841183639 in plain Text format TXT  |  1841183639 in PDF (Portable Document Format) PDF  |  1841183639 in an XML format XML  formats.

NPI Number : 1841183639 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841183639",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHARLES",
    "FirstName": "KEVON",
    "MiddleName": "FRANCIS",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "ATHLETIC TRAINER ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1316 W ESPLANADE AVE APT I",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KENNER",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70065-2708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-201-5266",
    "MailingAddressFaxNumber": "504-201-5266",
    "FirstLinePracticeLocationAddress": "1221 S CLEARVIEW PKWY APT I",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JEFFERSON",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70121-1011",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-736-4800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2025",
    "LastUpdateDate": "05/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "343639",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.