MR. KENNETH SEAN WILLEFORD (NPI# 1376637223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376637223 |
| Entity Type | Individual |
| Full Name | MR. KENNETH SEAN WILLEFORD |
| Credential | ATC, LAT |
| Practice Address |
3005 Stadium Drive Fort Worth TX 76109 |
| Mailing Address |
Tcu Box 297730 Fort Worth TX 76129 |
| Practice Telephone | 8172576737 |
| Practice Fax Number | 8172577702 |
| Mailing Telephone | 8172576737 |
| Mailing Fax Number | 8172577702 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT3465 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912917865 | Kenneth Lee Willeford | Physical Medicine & Rehabilitation | 10 Doctors Cir, Suite 2, Supply, NC 28462-4089 | 2006-08-09 |
| 1184624967 | Kenneth Byron Willeford | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-22 |
| Street Address |
3005 STADIUM DRIVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258341 | Benjamin T Stefka | Specialist/Technologist | 9936 Gessner Dr, Fort Worth, TX 76244-5085 | 2020-09-06 |
| 1669093266 | Frank Baker | Specialist/Technologist | 3500 Bellaire Drive N, Fort Worth, TX 76129-0001 | 2020-05-05 |
| 1003442195 | Kaitlyn Paige Harrison | Specialist/Technologist | 3608 Clary Ave, Fort Worth, TX 76111-4818 | 2020-03-20 |
| 1770118135 | Baylie Benge | Specialist/Technologist | 4137 Tupelo Trl, Fort Worth, TX 76244-6930 | 2020-03-05 |
| 1497389118 | Marah Elizabeth Levy | Specialist/Technologist | 4000 Hulen Pl Apt 314, Fort Worth, TX 76107-7376 | 2020-03-03 |
| 1699309625 | Nancy Alejandra Paredes | Specialist/Technologist | 707 Meadow Park Dr, Fort Worth, TX 76108-2807 | 2020-02-28 |
| 1770115099 | Ian Underwood | Specialist/Technologist | 5204 Emmeryville Ln, Fort Worth, TX 76244-6200 | 2020-02-05 |
| 1427697671 | Victor Joseph West | Specialist/Technologist | 9932 Pyrite Dr, Fort Worth, TX 76131-4341 | 2020-01-04 |
| 1285281105 | Kaylee Baker | Specialist/Technologist | 817 Wesleyan St # 314, Fort Worth, TX 76105-1257 | 2019-08-26 |
| 1194389551 | Katherine Jordan | Specialist/Technologist | 4909 El Campo Ave Apt D, Fort Worth, TX 76107-4910 | 2019-04-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on MR. KENNETH SEAN WILLEFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.