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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KONNOR GERALD KINGSMORE, LAT, ATC

Active

KONNOR GERALD KINGSMORE, LAT, ATC is a Athletic Trainer healthcare provider located in MENOMONEE FALLS, Wisconsin. NPI 1295551240 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MENOMONEE FALLS, WI

Registration Details

NPI Number
1295551240
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2024 (1.676291266597 yrs)
Last Updated
Nov 25, 2024
License
3219-39 (WI)

Practice Information

Address
N91W15750 FALLS PKWY
MENOMONEE FALLS, WI, 530512301
Browse WI providers · Browse ZIP 53051
Phone
2625321100
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MENOMONEE FALLS, WI

Name Credential NPI
MRS. CARLA EBERT LARSON ATC, PAS, CSCS 1518935212
MRS. JESSICA DEHN LAT 1366722613
JEFF DAUSS LAT 1093101255
JAMES PECHA L.A.T. 1770979817
MR. DILLON JOHN FASSE LAT, ATC 1003357005
SHELBY FINK LAT, ATC 1558837906
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.