Kenneth Andrew Greenfield, ATC
Individual provider Active NPI Athletic Trainer · Wingate, NC
NPI 1740899962 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1740899962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 5788 (FL)
- Practice address
- 230 N. Camden Rd.
Wingate, NC 28174 - Phone
- (704) 233-8193
- NPI assigned
- Jul 23, 2020
- 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 |
|---|---|---|---|
| 5788 | FL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 5788 | FL | Yes |
Addresses
Primary practice location
230 N. Camden Rd.
Wingate, NC 28174
Mailing address
6 Biscayne PL
Sterling, VA 20164-1105
Phone (571) 236-5147
Other providers in Wingate, NC
- Colton Freeman
- Lacie Kendall Geisel
- Cole Hunter Gillman-Goss
- Naomi Gongon
- Greatness in All LLC
- Jill M Hartman
- Claudia Grace Hicks
- Natalie Elizabeth High
- Susan Andrea Hino
- Kwanita Lynette Hunt-Scott
All providers in Wingate, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. 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.