MR. PAUL R. KENNEDY (LAT, ATC) – Athletic Trainer, NPI 1639182876

MR. PAUL R. KENNEDY (LAT, ATC) is a healthcare provider. based in Carson city, Nevada. specializing in Athletic Trainer. They hold the professional credentials LAT, ATC. They hold a License No. 0506033 (NV). The NPI Number for MR. PAUL R. KENNEDY (LAT, ATC) is 1639182876

Main info

Male
Sole Proprietor
Name
MR. PAUL R. KENNEDY (LAT, ATC)
NPI
1639182876
Phone
(775) 783-3076
Address
935 Mica Dr Ste 15
Enumeration Date
15 August 2006
Last Update Date
30 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. PAUL R. KENNEDY (LAT, ATC)

  • 935 Mica Dr Ste 15

    Carson City, NV 897057181

    Phone: (775) 783-3076

    Type: Location

  • 451 ROSEBEN CT

    RENO, NV 895218360

    Phone: (702) 767-7424

    Type: Mailing

  • 1670 NV-88

    MINDEN, NV 89423

    Phone: (702) 767-7424

    Type: Location

  • Tahoe Boulevard, Incline Village, Washoe County, Nevada, United States

    INCLINE VILLAGE, NV 894517498

    Phone: (775) 580-7602

    Type: Location

  • 9620, Comanche Moon Drive, Reno, Washoe County, Nevada, 89521, United States

    RENO, NV 895215144

    Phone: (702) 767-7424

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89705)

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Reviews

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Frequently asked questions

Where can patients find MR. PAUL R. KENNEDY (LAT, ATC)'s NPI?
You can confirm MR. PAUL R. KENNEDY (LAT, ATC) with NPI 1639182876; it appears in the national provider directory.
Does this profile mean MR. PAUL R. KENNEDY (LAT, ATC) is currently active?
Yes — MR. PAUL R. KENNEDY (LAT, ATC) appears active in the national provider directory.
What kind of provider is MR. PAUL R. KENNEDY (LAT, ATC)?
The page reflects Athletic Trainer for MR. PAUL R. KENNEDY (LAT, ATC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. PAUL R. KENNEDY (LAT, ATC)?
The page summarizes Carson City, Nevada for MR. PAUL R. KENNEDY (LAT, ATC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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