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

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

Practice location Address checks out

2116 Providence Park Ln
Herculaneum, MO 63048-1714
Phone: (573) 535-0144
Show map & directions

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
Mailing address2116 Providence Park Ln, Herculaneum, MO 63048-1714