Individual provider · Type 1 NPI

Kenneth Dildine Jr., ATC, LAT

Athletic Trainer · O Fallon, MO

NPI number 1952880023 Active

Practice location

1230 Tom Ginnever Ave
O Fallon, MO 63366-4406

Call (636) 359-8884 Map

Mailing address

25 Deer Run Trl
New Florence, MO 63363-3519

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer Primary	2255A2300X	2018024370 (MO)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1952880023

Kenneth Dildine Jr., ATC, LAT's National Provider Identifier is 1952880023, issued on Aug 9, 2018. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in O Fallon, MO. The record was last updated on May 16, 2023.