Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL KENWORTHY, ATC
Active Sole ProprietorRUSSELL KENWORTHY, ATC is a Athletic Trainer healthcare provider located in LONG BEACH, Mississippi. NPI 1417362559 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LONG BEACH, MS
Registration Details
- NPI Number
- 1417362559
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2014 (12.107603633699 yrs)
- Last Updated
- Jun 27, 2014
- License
-
AT0159 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
312 RITA LNLONG BEACH, MS, 395604338Browse MS providers · Browse ZIP 39560
- Phone
- 2282344959
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LONG BEACH, MS
| Name | Credential | NPI |
|---|---|---|
| ROSALYN ROXAN SIMS | — | 1588691208 |
| MS. JENNIFER L LADNER | ATC | 1083052898 |
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.