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Active NPI 1952880023 Individual Practitioner Male Practitioner

Kenneth Dildine , ATC, LAT

Specialist/Technologist - Athletic Trainer • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Kenneth Dildine, ATC, LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in O Fallon, MO. Practice services are available at 1230 TOM GINNEVER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1230 Tom Ginnever Ave

O Fallon, MO 633664406

Telephone 6363598884

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.5 Yrs
Regional Practice Density
11 Specialists

Practicing in O Fallon, MO (1041 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-16
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License MO 2018024370

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Elizabeth Ladue , MA

Speech-Language Pathologist

NPI 1134672561

Master of Arts

Margaret Obrien , CF-SLP

Speech-Language Pathologist

NPI 1184407496

Clinical Fellow in Speech-Language Pathology

Vicki Shoemaker

Speech-Language Pathologist

NPI 1841570355
Maggie Richardson

Specialist/Technologist - Athletic Trainer

NPI 1841693678

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 16, 2023

Registered at 1230 TOM GINNEVER AVE, O FALLON, MO 633664406 (Tel: 6363598884)

📍
Updated Business Mailing Address May 16, 2023

Registered at 25 DEER RUN TRL, NEW FLORENCE, MO 633633519 (Tel: 6363598884)

NPI Profile Active August 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2018

Registered at 803 PINCKNEY ST, WARRENTON, MO 633832335 (Tel: 6364566902)

📍
Updated Business Mailing Address August 09, 2018

Registered at 805 WORTHINGTON DR, WARRENTON, MO 633832235 (Tel: 6363598884)

👤
Provider Name / Credentials Updated August 09, 2018

Recorded as KENNETH DILDINE, ATC, LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Specialist/Technologist (License #2018024370 in MO)

🟢
Initial NPI Registration & Enumeration August 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952880023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2018
Last Update: May 16, 2023
Sole Proprietor: No

Mailing Address

25 Deer Run Trl

New Florence, MO 633633519

Phone: 6363598884

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.