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

Kalen Jerrell Davis, LAT, ATC

Individual provider Athletic Trainer · NPI 1447734876

Kalen Jerrell Davis, LAT, ATC is an Athletic Trainer in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1640 E Grand St
Springfield, MO 65804-0213
Phone: (573) 337-0110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2018033678 (MO)

Record details

NPI number1447734876
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 21, 2018
Last updated in NPPESSeptember 21, 2018
Mailing address1640 E Grand St, Springfield, MO 65804-0213

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