Individual
MRS. KERRY LEE WINGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS, FMSC
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 649-4974
Mailing address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002181
GA
Other
Enumeration date
05/23/2007
Last updated
03/17/2026
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