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

Kenjiro Shibuya

Individual provider Athletic Trainer · NPI 1316829773

Kenjiro Shibuya is an Athletic Trainer in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

452 S 78th St Apt 5
Omaha, NE 68114-4547
Phone: (408) 504-4528
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1316829773
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address452 S 78th St Apt 5, Omaha, NE 68114-4547

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