Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Kenning, MAT, LAT, ATC, CSCS

Individual provider Athletic Trainer · NPI 1063031854

Mrs. Jessica Kenning, MAT, LAT, ATC, CSCS is an Athletic Trainer in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
3
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

2667 Bruton Blvd
Orlando, FL 32805-5753
Phone: (407) 206-8717
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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 6317 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1063031854
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , LAT , ATC , CSCS
Sole proprietorNo
NPI enumeratedApril 11, 2020
Last updated in NPPESDecember 31, 2022
Certification dateDecember 31, 2022

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