Individual
KACEY OHLEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 S PROVIDENCE RD, WAXHAW, NC 28173-6313
(704) 667-8778
Mailing address
2700 S PROVIDENCE RD STE 225, WAXHAW, NC 28173-6314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-6040
NC
Other
Enumeration date
04/04/2016
Last updated
11/12/2025
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