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

Kenneth Untalan

Individual provider Athletic Trainer · NPI 1750810206

Kenneth Untalan is an Athletic Trainer in Fresno, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1620 E Bulldog Ln
Fresno, CA 93710
Phone: (559) 278-4170
Fax: (559) 278-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Athletic Trainer Taxonomy 2255A2300X (CA)

Record details

NPI number1750810206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESJune 8, 2017
Mailing address1906 12th Ave, Delano, CA 93215-3835

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