Konnor Gerald Kingsmore, LAT, ATC
NPI #1295551240 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1295551240
- Entity Type
- Individual
- Name
- Konnor Gerald Kingsmore, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Nov 25, 2024
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- N91W15750 FALLS PKWY
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-2301
- Phone
- (262) 532-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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