Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DILDINE JR., ATC, LAT
ActiveKENNETH DILDINE JR., ATC, LAT is a Athletic Trainer healthcare provider located in O FALLON, Missouri. NPI 1952880023 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · O FALLON, MO
Registration Details
- NPI Number
- 1952880023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2018 (7.9756271629785 yrs)
- Last Updated
- May 16, 2023
- License
-
2018024370 (MO)
Practice Information
- Address
-
1230 TOM GINNEVER AVEO FALLON, MO, 633664406Browse MO providers · Browse ZIP 63366
- Phone
- 6363598884
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in O FALLON, MO
| Name | Credential | NPI |
|---|---|---|
| JOANN MARIE SPANN | ATC | 1891806519 |
| KEVIN CRAWMER | A.T.C. | 1861513756 |
| MRS. JENNIFER RAISBECK | ATC, LAT | 1891198131 |
| MAGGIE RICHARDSON | — | 1841693678 |
| SARAH HALL | ATC | 1083012017 |
| MEGAN MARIE CARROLL | — | 1760965347 |
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.