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

Mrs. Kiersten Park, MS, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124561840

Mrs. Kiersten Park, MS, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Wilmington, Delaware. Practices as a sole proprietor. Licensed in Delaware, Nevada and Pennsylvania.

Licensed in
DE, NV, PA
In the registry since
2016
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

2621 Boxwood Dr
Wilmington, DE 19810-1607
Phone: (302) 290-4067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (DE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X (PA)
Athletic Trainer Taxonomy 2255A2300X (NV)

Record details

NPI number1124561840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 29, 2016
Last updated in NPPESMay 5, 2024
Certification dateMay 5, 2024

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