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

Mr. Kevin Kilkenny, ATC

Individual provider Athletic Trainer · NPI 1295303147

Mr. Kevin Kilkenny, ATC is an Athletic Trainer in West Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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

400 Montauk Hwy Ste 103
West Islip, NY 11795-4429
Phone: (631) 661-3700
Fax: (631) 661-3749
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002228-1 (NY)

Record details

NPI number1295303147
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

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