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NPI Code Detail

MEDICARE: MADISON ALAINE KINSEY MS, LAT, ATC

MEDICARE: MADISON ALAINE KINSEY MS, LAT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1326619040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON ALAINE KINSEY MS, LAT, ATC
Provider Business Mailing Address
First Line : 4030 TATES CREEK RD APT 5613
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-3193
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 720 SPORTS CENTER DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40502
Country : US
Telephone Number : 859-257-6521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2021
Last Update Date : 04/02/2026

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