Russell Kenworthy
ATC
Specialist/Technologist - Athletic Trainer
About Russell Kenworthy
Russell Kenworthy, ATC, is a male healthcare professional specializing in Specialist/Technologist - Athletic Trainer with a focus on Athletic Trainer, registered under National Provider Identifier (NPI) number 1417362559.
Their primary practice is located at 312 RITA LN, Long Beach, Mississippi 39560. Patients can reach the office at (228) 234-4959. Russell Kenworthy has been NPI-registered since 2014.
Doctor Details
Identity & Credentials
- NPI Number
- 1417362559
- Entity Type
- Individual
- First Name
- Russell
- Last Name
- Kenworthy
- Credential
- ATC
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 312 RITA LN
- City
- Long Beach
- State
- Mississippi
- ZIP
- 39560-4338
- Country
- United States
- Phone
- (228) 234-4959
Specialty & Taxonomy
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Classification
- Specialist/Technologist
- Specialization
- Athletic Trainer
- Taxonomy Code
- 2255A2300X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 312 RITA LN
- City
- LONG BEACH
- State
- MS
- ZIP
- 395604338
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Russell Kenworthy's NPI number?
What does Russell Kenworthy specialize in?
Where is Russell Kenworthy located?
Does Russell Kenworthy accept Medicare?
Does Russell Kenworthy offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Russell Kenworthy is 1417362559.