NPI 1417270364

Kaleb Boydston, MSATC

Practitioner Athletic Trainer Elizabethtown, KY

Practice location

Address: 1111 Ring Rd, Elizabethtown, KY 42701-4900
Phone: (816) 383-4380
Mailing address: 110 Silver Creek CT APT 2a, Elizabethtown, KY 42701-7277

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1417270364
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2010
Record last updated: 26 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.