Kennedy E. Gladding, ATC

Athletic Trainer · Marshall, TX

Individual Active NPI

NPI number 1669083127

Practice location

1 Tiger Dr
Marshall, TX 75670-1412
Phone
(903) 923-2227

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NPI record

NPI
1669083127
Entity type
Individual (Type 1)
Enumeration date
August 10, 2020
Last updated
August 10, 2020
Certified
August 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2000039307 IL

Mailing address

1 Tiger Drive
Etbu Box 6-1754
Marshall, TX 75670
Phone
(217) 264-3453

Other practice locations (1)

  • 700 E Marshall Ave, Longview, TX 75601-5580 · (903) 315-2000

About Kennedy Gladding

Kennedy E. Gladding, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1 Tiger Dr, Marshall, TX 75670-1412. The NPI number 1669083127 was assigned on August 10, 2020 and the record was last updated on August 10, 2020.

Kennedy Gladding lists a license in the registry: #2000039307 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kennedy E. Gladding, ATC?

The NPI number is 1669083127.

What is the phone number of Kennedy Gladding?

The phone number listed for the practice location is (903) 923-2227.

Where is Kennedy Gladding located?

1 Tiger Dr, Marshall, TX 75670-1412.

What is the taxonomy code for Kennedy Gladding?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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