NPI 1184117582

Kyle Kingrey, ATCLAT

Practitioner Athletic Trainer Ada, OK

Practice location

Address: 1100 E 14th St, Ada, OK 74820-6915
Phone: (580) 559-5432
Mailing address: 512 E 7th St, Ada, OK 74820-5204

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1030 (OK)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1184117582
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2018
Record last updated: 11 Jun 2018

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.