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

KIMBERLY R PENKERT, ATC

Active

KIMBERLY R PENKERT, ATC is a Athletic Trainer healthcare provider located in NEW PRAGUE, Minnesota. NPI 1922022326 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NEW PRAGUE, MN

Registration Details

NPI Number
1922022326
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2006 (20.030027745291 yrs)
Last Updated
Jul 11, 2013
License
060402447 (MN)

Practice Information

Address
301 2ND ST NE
NEW PRAGUE, MN, 560711709
Browse MN providers · Browse ZIP 56071
Phone
9527588161
Fax
9527581938
Primary Specialty
Athletic Trainer
2255A2300X
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.