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

Ken Castillo

Individual provider Athletic Trainer · NPI 1942169636

Ken Castillo is an Athletic Trainer in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1400 Arena Dr
Carbondale, IL 62901-4330
Phone: (858) 775-0641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.005926 (IL)

Record details

NPI number1942169636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address1400 Arena Dr, Carbondale, IL 62901-4330

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