Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM SMALL, ATC
Active Sole ProprietorKIM SMALL, ATC is a Athletic Trainer healthcare provider located in LONG BRANCH, New Jersey. NPI 1023421542 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LONG BRANCH, NJ
Registration Details
- NPI Number
- 1023421542
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2014 (12.192289331888 yrs)
- Last Updated
- Mar 9, 2015
- License
-
25MT00187400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 INDIANA AVEATHLETICS DEPARTMENTLONG BRANCH, NJ, 077406122Browse NJ providers · Browse ZIP 07740
- Phone
- 7322297300
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LONG BRANCH, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. EILEEN WALLACE | ATC, PTA | 1568585362 |
| MELINDA MAE BRENNER | ATC, CSCS | 1083884506 |
| JOSEPH PAUL GIACOMO | — | 1609394816 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.