KIAH MACKENZIE WARYAN (ATC) – Athletic Trainer, NPI 1811640865

KIAH MACKENZIE WARYAN (ATC) is a healthcare provider. based in Maple grove, Minnesota. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 3242 (MN). The NPI Number for KIAH MACKENZIE WARYAN (ATC) is 1811640865

Main info

Female
Name
KIAH MACKENZIE WARYAN (ATC)
NPI
1811640865
Phone
(701) 317-3033
Address
10225 YORKTOWN LN N
Enumeration Date
31 January 2022
Last Update Date
1 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

Provider Addresses for KIAH MACKENZIE WARYAN (ATC)

  • 10225 YORKTOWN LN N

    MAPLE GROVE, MN 553692852

    Phone: (701) 317-3033

    Type: Mailing

  • 3580 ARCADE ST

    VADNAIS HEIGHTS, MN 551277135

    Phone: (651) 968-5994

    Type: Location

  • 2620 EAGAN WOODS DR

    EAGAN, MN 551211138

    Phone: (651) 968-5151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55369)

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Reviews

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Frequently asked questions

Is there an official ID for KIAH MACKENZIE WARYAN (ATC) in U.S. healthcare records?
The official identifier for KIAH MACKENZIE WARYAN (ATC) is NPI 1811640865.
Would KIAH MACKENZIE WARYAN (ATC) appear as active to a payer?
You can treat KIAH MACKENZIE WARYAN (ATC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KIAH MACKENZIE WARYAN (ATC)'s focus?
For KIAH MACKENZIE WARYAN (ATC), the primary taxonomy reads as Athletic Trainer. Clinical services aligned with this taxonomy classification.
Is KIAH MACKENZIE WARYAN (ATC) associated with Maple Grove?
Public fields place KIAH MACKENZIE WARYAN (ATC) around Maple Grove, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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