Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Kaullen Anthony

Individual provider Athletic Trainer · NPI 1821557430

Benjamin Kaullen Anthony is an Athletic Trainer in Columbia, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

600 E Stadium Blvd
Columbia, MO 65211-0001
Phone: (636) 236-6576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1821557430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2019
Last updated in NPPESMarch 14, 2019
Mailing address780 Debula Dr, Ellisville, MO 63021-4236

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