National Provider Identifier
Andrew Thomas Kingdon
Andrew Thomas Kingdon is listed in the NPPES registry with a primary specialty of Athletic Trainer in Fairport, NY and a listed phone number of (760) 470-3094.
Profile Overview
- NPI
- 1700493491
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- September 26, 2020
- Last Updated
- September 26, 2020
Practice Location
- 91 Bent Oak Trl
- Fairport, NY 14450-8949
Phone: (760) 470-3094
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1700493491
- Entity Type
- Individual
- Last Name
- Kingdon
- First Name
- Andrew
- Middle Name
- Thomas
- Mailing Street Address
- 91 Bent Oak Trl
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8949
- Mailing Country
- US
- Mailing Phone
- (760) 470-3094
- Practice Street Address
- 91 Bent Oak Trl
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8949
- Practice Country
- US
- Practice Phone
- (760) 470-3094
- Enumeration Date
- September 26, 2020
- Last Updated
- September 26, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 26, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)