Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirk A Ridenour, LAT, ATC, NASM-CES

Individual provider Athletic Trainer · NPI 1912592643

Kirk A Ridenour, LAT, ATC, NASM-CES is an Athletic Trainer in Aynor, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

201 Jordanville Rd
Aynor, SC 29511-3601
Phone: (843) 488-7109
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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 2000036934 (SC)

Record details

NPI number1912592643
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , NASM-CES
Sole proprietorYes
NPI enumeratedMarch 4, 2021
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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