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

Samual Dean Kotsonas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124610597

Samual Dean Kotsonas is a Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2001 Alford Dr
Kenosha, WI 53140-1927
Phone: (952) 300-7222
Show map & directions

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

Specialties & licences

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

Record details

NPI number1124610597
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021
Mailing address14521 Genesee Ave, Apple Valley, MN 55124-8420

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