Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna Leigh Kipetz, MED, ATC

Individual provider Athletic Trainer · NPI 1174261796

Jenna Leigh Kipetz, MED, ATC is an Athletic Trainer in San Diego, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

35000 Guadalcanal St Bldg 573
San Diego, CA 92140-5599
Phone: (619) 524-8313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1174261796
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ATC
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

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