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

Mr. Kevin Wayne Wiesner Jr.

Individual provider Athletic Trainer · NPI 1376000356

Mr. Kevin Wayne Wiesner Jr. is an Athletic Trainer in Marmora, New Jersey. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

22 Church Rd
Marmora, NJ 08223-1257
Phone: (609) 846-5786
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1376000356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESFebruary 26, 2019