Kinley Charlton

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9640 Pike 9037
Bowling Green, MO 63334-2666

Phone

(573) 470-4031

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1184495756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 PIKE 9037",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342666",
            "telephone_number": "573-470-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 PIKE 9037",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342666",
            "telephone_number": "573-470-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "KINLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deelena Betty Brand, RPH
• Bonnie Brennen, N.P.
• Heather Lee Brooks, OTR
• Tomas V Cabrera, M.D.
• Champ Clark Service Coordination
• Stephen Richard Chismarich, D.D.S.
• Madison Collard, FNP
• James Collins, O.D.
• Dwight Charles Conlan Jr., D.D.S.
• Kimberly K. Cordes, AGNP-BC, CVNP-BC

• Athletic Trainer in Bowling Green, MO
• Providers in Bowling Green, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.