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

Mr. Kenneth David Hart Jr., ATC

Individual provider Orthotic Fitter · NPI 1972212926

Mr. Kenneth David Hart Jr., ATC is an Orthotic Fitter in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

410 N State Of Franklin Rd Ste 140
Johnson City, TN 37604-6972
Phone: (423) 431-2460
Fax: (423) 431-2465
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0000000761 (TN)
Orthotic Fitter Taxonomy 225000000X

Record details

NPI number1972212926
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022