Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH A. STIFF, ATC
ActiveAthletic Trainer · ELK GROVE VILLAGE, IL
Registration Details
- NPI Number
- 1255300117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.10707241947 yrs)
- Last Updated
- Jul 8, 2007
- License
-
96000134 (IL)
Practice Information
- Address
-
500 W ELK GROVE BLVDELK GROVE VILLAGE, IL, 600074272Browse IL providers · Browse ZIP 60007
- Phone
- 8477184412
- Fax
- 8477184417
- Primary Specialty
-
Athletic Trainer
225500000X
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.