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

Individual provider Athletic Trainer · NPI 1508194366

Mr. Kevin Anderson, MA, ATC is an Athletic Trainer in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5151 Pacific Ave
Stockton, CA 95207-6370
Phone: (209) 954-5181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1508194366
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC
Sole proprietorYes
NPI enumeratedDecember 5, 2009
Last updated in NPPESSeptember 2, 2019

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