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Kaleb Farley

Specialist/Technologist, Athletic Trainer in Indian Trail, NC. Individual provider (NPI-1).

NPI number1194156471
StatusActive
Last updated in NPPESDec 11, 2013

Details

NPI
1194156471
Entity type
Individual (NPI-1)
Name
Kaleb Farley
Sex
Male
Sole proprietor
No
Enumeration date
Dec 11, 2013
Last updated
Dec 11, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2226NCYes

Practice location

5714 Beverly Dr
Indian Trail, NC 28079-8539

Phone 704-249-0104 · Fax 980-343-1475

Mailing address

5714 Beverly Dr
Indian Trail, NC 28079-8539

Phone 704-249-0104 · Fax 980-343-1475

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in Indian Trail, NC

All 5 Athletic Trainer providers in Indian Trail · All 529 providers in Indian Trail

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