NPI 1063809721

Kyle Hickey, ATCLAT

Practitioner Athletic Trainer Albuquerque, NM

Practice location

Address: 1414 University Blvd, Albuquerque, NM 87131-0001
Phone: (937) 520-1786
Mailing address: 5741 Osuna Rd NE APT 815, Albuquerque, NM 87109-2567

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 583 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1063809721
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2015
Record last updated: 21 Apr 2015

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.