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

Miss. Kimberly A. Divincenzo, ATC

Individual provider Athletic Trainer · NPI 1417914854

Miss. Kimberly A. Divincenzo, ATC is an Athletic Trainer in Glastonbury, Connecticut. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2345 Main St
Glastonbury, CT 06033-2211
Phone: (860) 633-5572
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 000561-1 (NY)

Record details

NPI number1417914854
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESJuly 13, 2026

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