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Deactivated NPI 1326562489 Deactivated / Inactive NPI Male Practitioner

Robert Noah Kennerknecht , ATC

Specialist/Technologist - Athletic Trainer • Edinboro, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Kennerknecht has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2017
NPI Deactivation Date June 07, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Robert Kennerknecht, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Edinboro, PA. Throughout an active medical career spanning 5 years, Robert Kennerknecht provided care at the practice location at 11761 EDINBORO RD until profile deactivation on 2022-06-07.

Practice Location & Contact Primary Location

Practice Address

11761 Edinboro Rd

Edinboro, PA 164121025

Telephone 8142731033

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Edinboro, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Edinboro, PA (2887 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License PA RT003534

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2022

Record deactivated on June 07, 2022

NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 31, 2017

Registered at 11761 EDINBORO RD, EDINBORO, PA 164121025 (Tel: 8142731033)

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Updated Business Mailing Address July 31, 2017

Registered at 136 HARRISON DR, EDINBORO, PA 164122242

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Provider Name / Credentials Updated July 31, 2017

Recorded as ROBERT KENNERKNECHT, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Specialist/Technologist (License #RT003534 in PA)

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Initial NPI Registration & Enumeration July 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326562489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2017
Last Update: July 31, 2017
Deactivation Date: June 07, 2022

Mailing Address

136 Harrison Dr

Edinboro, PA 164122242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.