Kevin Agostini, ATC, LAT
Individual provider Active NPI Athletic Trainer · Cheshire, CT
NPI 1699211540 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1699211540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 03534308 (CT)
- Practice address
- 10 Main St
Cheshire, CT 06410-2403 - Phone
- (413) 884-2684
- NPI assigned
- Jan 17, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03534308 | CT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 03534308 | CT | Yes |
Addresses
Primary practice location
10 Main St
Cheshire, CT 06410-2403
Mailing address
10 Main St
Cheshire, CT 06410-2403
Phone (413) 884-2684
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- Advanced Dentistry, Inc
- Mairead Pauline Aiken
- Zvonka Akbas
- Rachael Albertson
- Kirsten Adair Albrecht
- Alexander and Grenon Chiropractic Center PC
All providers in Cheshire, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.