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Kenneth Willeford, ATC, LAT
NPI 1376637223 · on the registry since 2006
Practice
- Address
- 3005 Stadium Drive
Fort Worth, TX 76109 - Phone
- (817) 257-6737
- Fax
- (817) 257-7702
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas