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

Russell Kenworthy, ATC

Individual provider Athletic Trainer · NPI 1417362559

Russell Kenworthy, ATC is an Athletic Trainer in Long Beach, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2014
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

312 Rita Ln
Long Beach, MS 39560-4338
Phone: (228) 234-4959
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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 AT0159 (MS)

Record details

NPI number1417362559
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 27, 2014
Last updated in NPPESJune 27, 2014

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