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

Kiah Mackenzie Waryan, ATC

Individual provider Athletic Trainer · NPI 1811640865

Kiah Mackenzie Waryan, ATC is an Athletic Trainer in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone: (651) 968-5151
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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 3242 (MN)

Record details

NPI number1811640865
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

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