Russell Kenworthy, ATC
NPI 1417362559 · Athletic Trainer · Long Beach, MS
Russell Kenworthy, ATC is a Athletic Trainer provider in Long Beach, MS (NPI 1417362559).
Provider details
- NPI number
- 1417362559
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0159 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2014-06-27
Frequently asked questions
- What is Russell Kenworthy's NPI number?
- Russell Kenworthy's National Provider Identifier (NPI) is 1417362559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Kenworthy's specialty?
- Russell Kenworthy is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Russell Kenworthy located?
- Russell Kenworthy's practice location on file with NPPES is 312 Rita Ln, Long Beach, MS 39560-4338.
- What is Russell Kenworthy's phone number?
- The practice phone number listed in the NPPES registry for Russell Kenworthy is (228) 234-4959.
- Is Russell Kenworthy's NPI active?
- Yes — Russell Kenworthy's NPI (1417362559) is active in the NPPES registry as of the last update on 2014-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.