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NPI Code Detail

MEDICARE: JEFFREY SCOTT KIME ATC

MEDICARE: JEFFREY SCOTT KIME 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
12255A2300XAthletic TrainerAT000769OH

General Provider Information

NPI Number : 1164546990
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY SCOTT KIME ATC
Provider Business Mailing Address
First Line : 8701 DARROW RD
Second Line : TWG1-3
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 216-225-9692
Fax Number :
Provider Business Practice Location Address
First Line : 8701 DARROW RD
Second Line : TWG1-3
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 216-225-9692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 09/09/2014

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Directions to “ JEFFREY SCOTT KIME ATC” Practice Location

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