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

Spencer Kellen Gonzalez

Individual provider Athletic Trainer · NPI 1699516179

Spencer Kellen Gonzalez is an Athletic Trainer in University, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

84 Dormitory Row W
University, MS 38677
Phone: (513) 346-8947
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 number1699516179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 2, 2024
Mailing address255 Hillcrest Dr, Cincinnati, OH 45215-2609

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