MEDICARE: MS. KIMBERLY RENEE MONCEL 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
1	2255A2300X	Athletic Trainer	1511	MN

General Provider Information

NPI Number	:	1710046941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY RENEE MONCEL ATC

Provider Business Mailing Address
First Line	:	7145 E COUNTY RD E
Second Line	:
City	:	SOUTH RANGE
State	:	WI
Zip	:	54874-8702
Country	:	US
Telephone Number	:	715-395-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 KENWOOD AVE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55811-4199
Country	:	US
Telephone Number	:	218-723-5918
Fax Number	:	218-723-5958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1235098039 — GWENDOLYN FAYE GEISDORF
Practice Location Address:

1200 KENWOOD AVE
DULUTH, MN
55811-4199

Practice Phone: 218-723-6046
Practice Fax:

1306705116 — MARIAH R LENZ-SCHERPING
Practice Location Address:

1200 KENWOOD AVE
DULUTH, MN
55811-4199

Practice Phone: 218-723-6046
Practice Fax:

1932067857 — MIRANDA LYNN REAR
Practice Location Address:

1200 KENWOOD AVE
DULUTH, MN
55811-4199

Practice Phone: 218-723-6000
Practice Fax:

1205820859 — PROF. TODD NEUHARTH ATC
Practice Location Address:

1200 KENWOOD AVE , COLLEGE OF ST. SCHOLASTICA
DULUTH, MN
55811-4199

Practice Phone: 603-290-1703
Practice Fax:

1063432086 — MS. VICKI L. ANDREWS CFNP
Practice Location Address:

1200 KENWOOD AVE
DULUTH, MN
55811-4199

Practice Phone: 218-723-6282
Practice Fax: 218-723-5953

1700945086 — MRS. KATHLEEN M. THIEDE MA, RN, FNP-C
Practice Location Address:

1200 KENWOOD AVE , CSS STUDENT HEALTH SERVICE
DULUTH, MN
55811-4199

Practice Phone: 218-723-6282
Practice Fax: 218-723-5953

Directions to “ MS. KIMBERLY RENEE MONCEL ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.