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Kenneth Hackman, MA., ATC., LAT
NPI 1033520614 · on the registry since 2014 · sole proprietor
Practice
- Address
- 236 W Reade Ave
Upland, IN 46989 - Phone
- (765) 998-4780
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana