Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LESLIE JOHN MITKOS III, ATC
ActiveMR. LESLIE JOHN MITKOS III, ATC is a Athletic Trainer healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1174964761 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CAMP LEJEUNE, NC
Registration Details
- NPI Number
- 1174964761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2013 (12.912460449588 yrs)
- Last Updated
- Mar 21, 2017
- License
-
096.002508 (IL)
Practice Information
- Address
-
100 BREWSTER BLVDCAMP LEJEUNE, NC, 285472575Browse NC providers · Browse ZIP 28547
- Phone
- 9104490324
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CAMP LEJEUNE, NC
| Name | Credential | NPI |
|---|---|---|
| MISS LORI CATHERINE HOWARD | ATC | 1922094390 |
| HANNAH JUNE MCCLOUD | ATC, PTA | 1003927591 |
| MR. GREGORY MARR | LAT, ATC | 1528317732 |
| DEREK SOLOWAY | ATC | 1932443512 |
| MRS. KRISTEN A THACKER | MSED, LAT, ATC | 1497196018 |
| WENDI LEA LAWSON | ATC | 1609217116 |
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.