NPI 1487629903

Kevin Michael Pennington, ATC

Practitioner Athletic Trainer Geneva, IL

Practice location

Address: 296 Randall Rd, Geneva, IL 60134-4203
Phone: (630) 208-4215
Fax: (630) 208-5507
Mailing address: 953 Audubon Ln, Aurora, IL 60506-8852

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1487629903
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2006
Record last updated: 13 Jul 2026

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.