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

KIRK A RIDENOUR, LAT, ATC, NASM-CES

Active Sole Proprietor

KIRK A RIDENOUR, LAT, ATC, NASM-CES is a Athletic Trainer healthcare provider located in AYNOR, South Carolina. NPI 1912592643 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · AYNOR, SC

Registration Details

NPI Number
1912592643
Provider Type
Individual
Gender
Male
NPI Issued
Mar 4, 2021 (5.2638839924588 yrs)
Last Updated
Aug 28, 2024
License
2000036934 (SC)
Sole Proprietor
Yes

Practice Information

Address
201 JORDANVILLE RD
AYNOR, SC, 295113601
Browse SC providers · Browse ZIP 29511
Phone
8434887109
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in AYNOR, SC

Name Credential NPI
CHRISTOPHER JAMES MARCUS ATC, SCAT 1295728947
KALI CONGER MAT, ATC, SCAT 1285093294
JORDAN RICKARDS 1366224883
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.