Kira Kristine Au, M.S., A.T.C.

Individual provider Active NPI Athletic Trainer · La Puente, CA

NPI 1306989942 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306989942
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
14301 Fairgrove Ave
La Puente, CA 91746
Phone
(626) 962-2495
Fax
(626) 480-7441
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

14301 Fairgrove Ave
La Puente, CA 91746

Mailing address

241 S. Azusa Ave.
West Covina, CA 91791-1942
Phone (951) 218-3030

Other providers in La Puente, CA

All providers in La Puente, CA · Athletic Trainer in California

Sources for this page

Verify at the official NPI Registry.