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

Khalif Dubose, MSLATATC

Individual provider Athletic Trainer · NPI 1194473363

Khalif Dubose, MSLATATC is an Athletic Trainer in North Brunswick, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

1133 Livingston Ave Apt 9
North Brunswick, NJ 08902-3807
Phone: (732) 470-7309
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00303800 (NJ)

Record details

NPI number1194473363
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLATATC
Sole proprietorYes
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address1133 Livingston Ave Apt 9, North Brunswick, NJ 08902-3807

Other providers in North Brunswick