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

Kenneth Deangelis Jr.

Individual provider Athletic Trainer · NPI 1326445743

Kenneth Deangelis Jr. is an Athletic Trainer in Hammond, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014

Practice location Address checks out

2200 169th St
Hammond, IN 46323-2068
Phone: (989) 903-5267
Fax: (219) 989-2558
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002052A (IN)

Record details

NPI number1326445743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 1, 2014
Last updated in NPPESDecember 1, 2014

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