Jeremy Kulbeth
Specialist/Technologist, Athletic Trainer in Jackson, MS. Individual provider (NPI-1).
NPI number1891192563
StatusActive
Last updated in NPPESNov 24, 2014
Details
- NPI
- 1891192563
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Kulbeth
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2014
- Last updated
- Nov 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT0729 | MS | Yes |
Practice location
1325 E Fortification StJackson, MS 39202-2442
Phone 601-540-2972
Mailing address
39297 Crawford RdFranklinton, LA 70438-2907
Phone 318-470-8887
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All 35 Athletic Trainer providers in Jackson · All 8,702 providers in Jackson
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