Provider Demographics
NPI:1841407335
Name:KINARD, JEFFREY SCOTT (MPH, ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:KINARD
Suffix:
Gender:M
Credentials:MPH, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF ALABAMA IN HUNTSVILLE
Mailing Address - Street 2:125 SPRAGINS HALL
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35899-0001
Mailing Address - Country:US
Mailing Address - Phone:256-824-2196
Mailing Address - Fax:256-824-7306
Practice Address - Street 1:UNIVERSITY OF ALABAMA IN HUNTSVILLE
Practice Address - Street 2:125 SPRAGINS HALL
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35899-0001
Practice Address - Country:US
Practice Address - Phone:256-824-2196
Practice Address - Fax:256-824-7306
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALAL1562255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer