Individual
ZACHARY T KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
343 WINDING WOODS CTR, O FALLON, MO 63366-4170
(636) 439-2004
Mailing address
8200 SPRING CREEK LN, O FALLON, MO 63368-7515
(309) 242-3788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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