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KENNETH DILDINE JR. ATC, LAT
NPI 1952880023
Specialist/Technologist - Athletic Trainer in O Fallon, MO

Active since August 09, 2018
1230 TOM GINNEVER AVE, O FALLON, MO 63366(636) 359-8884 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Aug 9, 2018 (2 updates tracked since 2018).

About Kenneth Dildine Jr. Atc, Lat NPPES

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

KENNETH DILDINE JR. ATC, LAT (NPI 1952880023) is an individual athletic trainer provider in O Fallon, Missouri, licensed in Missouri (2018024370) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1952880023
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKENNETH DILDINE JR.Credential: ATC, LAT
Location Address1230 TOM GINNEVER AVEO Fallon, MO 63366-4406
Mailing Address25 Deer Run TrlNew Florence, MO 63363-3519 · (636) 359-8884
Phone(636) 359-8884
Sole ProprietorNo
Enumeration DateAugust 9, 2018
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1952880023 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 MO · 2018024370
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.
1230 TOM GINNEVER AVE, O Fallon, MO 63366
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH LADUE M.A.
Speech-Language Pathologist
1230 TOM GINNEVER AVE
O FALLON, MO 63366
St. Charles County (636) 272-4447
MARGARET ERIN OBRIEN CF-SLP
Speech-Language Pathologist
1230 TOM GINNEVER AVE
O FALLON, MO 63366
St. Charles County (636) 272-4447
VICKI M SHOEMAKER
Speech-Language Pathologist
1230 TOM GINNEVER AVE
O FALLON, MO 63366
St. Charles County (636) 240-2072
MAGGIE RICHARDSON
Specialist/Technologist (Athletic Trainer)
1230 TOM GINNEVER AVE
O FALLON, MO 63366
St. Charles County (314) 603-0850

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 Dildine's NPI number?

The NPI number for Kenneth Dildine is 1952880023. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Kenneth Dildine located?

Kenneth Dildine practices at 1230 Tom Ginnever Ave, O Fallon, MO 63366. The listed phone number is (636) 359-8884.

What is Kenneth Dildine'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 Dildine was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.