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Contact Information

JENNE DEANGELIS, ATC
2195 HARRODSBURG RD
LEXINGTON, KY40504-3504
 Phone: 859-300-1004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for JENNE DEANGELIS · (Female)

NPI Number 1730667817
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/01/2018
Last updated 08/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # AT1157
  • KY Other 912169756 ATHLETIC TRAINING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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