Individual
KACEY HILDEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(304) 525-2690
(304) 529-6880
Mailing address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(304) 525-2690
(304) 529-6880
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001253
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010681000
—
WV
05
—
352265
—
OH
Enumeration date
10/04/2015
Last updated
10/04/2015
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