NPI 1003998949

Kevin Keith Taylor, MSATC

Practitioner Athletic Trainer Boise, ID

Practice location

Address: 6485 W Interchange Suite 103, Boise, ID 83709
Phone: (208) 440-2488
Mailing address: 8157 W Galileo St, Boise, ID 83709-7899

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-212 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1003998949
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.