Kenneth Christy, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00055200 Issued in NJ

Practice address

1401 Laurel Oak Rd
Eastern High School
Voorhees, NJ 08043-4304

Phone

(856) 784-4441

Fax

(856) 784-1322

NPI assigned

May 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Camden County Regional High School

  • Local Education Agency (LEA)
  • Voorhees, NJ
  • NPI 1174912414
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821056235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 NARBERTH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351020",
            "telephone_number": "856-546-6614",
            "fax_number": "856-784-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LAUREL OAK RD",
            "address_2": "EASTERN HIGH SCHOOL",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434304",
            "telephone_number": "856-784-4441",
            "fax_number": "856-784-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00055200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koulin Lee Chou, M.D.
• Fazal Choudhary
• Zinnat A Chowdhury, M.D.
• Athena Christakos, MD
• Rita Christopher
• Jaemi Chu
• Alexandra Chudner
• Kyle John Chudzinski, LPC
• Amanda Churchill, PA-C
• Donna Marie Cirasole, MD

• Athletic Trainer in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.