Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kellen Gatzemeyer

Individual provider Athletic Trainer · NPI 1982001608

Kellen Gatzemeyer is an Athletic Trainer in Herculaneum, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
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Practice location Address checks out

2116 Providence Park Ln
Herculaneum, MO 63048-1714 Not confirmed with CMS for 11 years — call before visiting
Phone: (573) 535-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2014008745 (MO)

Record details

NPI number1982001608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2014
Last updated in NPPESNovember 24, 2014