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

KENDALL NICOLE MIKKELSEN, MS, LAT, ATC

Active

KENDALL NICOLE MIKKELSEN, MS, LAT, ATC is a Athletic Trainer healthcare provider located in ASHBURN, Virginia. NPI 1992401640 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ASHBURN, VA

Registration Details

NPI Number
1992401640
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2023 (3.4856441435667 yrs)
Last Updated
Aug 18, 2023

Practice Information

Address
19790 ASHBURN RD
ASHBURN, VA, 201475636
Browse VA providers · Browse ZIP 20147
Phone
5712095500
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in ASHBURN, VA

Name Credential NPI
MR. JOHN FITZGERALD BURRELL ATC 1942337779
ERIC STEVEN STEWARD ATC 1275662330
MR. LAWRENCE WILLIAM HESS MPT, ATC, CSCS 1073633855
KIMBERLY CORONEL MS, ATC 1013162353
LIDA THANARAK PITSCH ATC, PTA 1245577196
MR. KYLE ROSS BLACKMAN ATC 1598008112
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.