MEDICARE: MRS. KRISTEN P. TRENT PA-C, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT1585	KY
2	363A00000X	Physician Assistant		KY

General Provider Information

NPI Number	:	1053861716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTEN P. TRENT PA-C, ATC

Provider Business Mailing Address
First Line	:	932 WESTCHESTER WAY
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8893
Country	:	US
Telephone Number	:	270-991-8389
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 N EAGLE CREEK DR STE 303
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2124
Country	:	US
Telephone Number	:	859-264-9820
Fax Number	:	859-543-0994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	05/19/2026

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