Keonna Shadae King, BS, LAT, ATC
NPI 1588371819ActiveIndividual· Specialist/Technologist, Athletic Trainer· Normal, AL
Specialist/Technologist, Athletic Trainer (BS, LAT, ATC) in Normal, Alabama, licensed in AL, with an NPI issued in November 2022.
Overview
| NPI | 1588371819 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BS, LAT, ATC |
| Sole proprietor | No |
| NPI issued | Nov 7, 2022 |
| Last updated in NPPES | Nov 7, 2022 |
| Certified by provider | Nov 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 2530 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Normal
- 1083006829
- 1003524331
- 1124531066
- 1053676551