NPI 1033673678
Kevin Minhkha to, ATCLAT
Practice location
- Address
- 190 S Prospect Ave, Elmhurst, IL 60126-3271
- Phone
- (630) 617-3707
- Mailing address
- 1211 Homestead Rd APT F, La Grange Park, IL 60526-1161
Registered specialties (2)
Athletic Trainer
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1033673678
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jan 2019
- Record last updated
- 16 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.