NPI 1326350380

Landon Wade Kersey, ATCLAT

Practitioner Athletic Trainer Moore, OK

Practice location

Address: 1105 Renita Way, Moore, OK 73160-8710
Phone: (405) 819-1840

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 496 (OK)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1326350380
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2010
Record last updated: 7 Jul 2010

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.