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MR. KENNETH ILDEFONSO JR. A.T.R
NPI 1518356427
Specialist/Technologist - Athletic Trainer in Mankato, MN

Active since January 15, 2015
1801 MONKS AVE, APARTMENT 413, MANKATO, MN 56001(203) 584-3347 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Kenneth Ildefonso Jr. A.t.r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH ILDEFONSO JR. A.T.R (NPI 1518356427) is an individual athletic trainer provider in Mankato, Minnesota, licensed in Minnesota (2474) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1518356427
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KENNETH ILDEFONSO JR.Credential: A.T.R
Location Address1801 MONKS AVE, APARTMENT 413Mankato, MN 56001-6356
Mailing Address1801 Monks Ave, Apartment 413Mankato, MN 56001-6356
Phone(203) 584-3347
Sole ProprietorYes
Enumeration DateJanuary 15, 2015
✔ NPI 1518356427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MN · 2474
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1801 MONKS AVE, Mankato, MN 56001
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Ildefonso's NPI number?

The NPI number for Kenneth Ildefonso is 1518356427. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Kenneth Ildefonso located?

Kenneth Ildefonso practices at 1801 Monks Ave Apartment 413, Mankato, MN 56001. The listed phone number is (203) 584-3347.

What is Kenneth Ildefonso's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kenneth Ildefonso was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.