Active NPI
Kyle B Kosik
- Athletic Trainer
- Lexington, KY
National Provider Identifier
1144865361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1243
- Practice address
- 175 N Locust Hill Dr Apt 2204
Lexington, KY 40509-1580 - Phone
- (815) 383-8644
- NPI assigned
- Nov 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT1243 | KY | Primary |
Addresses
Primary practice location
175 N Locust Hill Dr Apt 2204
Lexington, KY 40509-1580
Mailing address
175 N Locust Hill Dr Apt 2204
Lexington, KY 40509-1580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1243 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1144865361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N LOCUST HILL DR APT 2204",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N LOCUST HILL DR APT 2204",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091580",
"telephone_number": "815-383-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSIK",
"first_name": "KYLE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT1243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.