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

KIP PATTERSON, ATC, CSCS

Active Sole Proprietor

KIP PATTERSON, ATC, CSCS is a Athletic Trainer healthcare provider located in MEDFORD, New Jersey. NPI 1508372343 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MEDFORD, NJ

Registration Details

NPI Number
1508372343
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2017 (8.6233764275392 yrs)
Last Updated
Dec 15, 2017
License
25MT00056900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
600 TABERNACLE RD
MEDFORD, NJ, 080559732
Browse NJ providers · Browse ZIP 08055
Phone
6096547544
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MEDFORD, NJ

Name Credential NPI
MS. DEIRDRE L THURSTON ATC 1346203320
MR. WILLIAM JOHN VONLEER ATC 1538415591
MARY-KATE DUNNE 1326493222
MS. STEPHANIE MROZ MS, LAT, ATC 1184130585
MIRANDA DOYLE 1174005490
KYLE NICASTRO 1790348357
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.