Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN ANDERSON, MA, ATC
Active Sole ProprietorMR. KEVIN ANDERSON, MA, ATC is a Athletic Trainer healthcare provider located in STOCKTON, California. NPI 1508194366 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STOCKTON, CA
Registration Details
- NPI Number
- 1508194366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2009 (16.507254573595 yrs)
- Last Updated
- Sep 2, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
5151 PACIFIC AVESTOCKTON, CA, 952076370Browse CA providers · Browse ZIP 95207
- Phone
- 2099545181
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER JOHN POND | MS, ATC | 1245275080 |
| DR. SHARON A WEST-SELL | PHD, ATC | 1215964036 |
| MS. JOLENE ELIZABETH BAKER | MA, ATC | 1760410054 |
| TODD P BROWN | ATC | 1861602880 |
| MRS. JAMIE MARIE DEROLLO | MBA, ATC | 1558764274 |
| SARA VARGAS | ATC | 1134517543 |
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.