Active NPI
Klinton Kyle Kuykendall, M.ED, ATC, LAT
- Athletic Trainer
- Oklahoma City, OK
National Provider Identifier
1285033449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 869
- Practice address
- 7412 Kaylee Way
Oklahoma City, OK 73132-4802 - Phone
- (817) 913-7269
- NPI assigned
- Aug 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4787 | TX | |
| Athletic Trainer | 2255A2300X | 869 | OK | Primary |
Addresses
Primary practice location
7412 Kaylee Way
Oklahoma City, OK 73132-4802
Mailing address
7412 Kaylee Way
Oklahoma City, OK 73132-4802
Phone (817) 913-7269
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4787 | TX | MD | Athletic Trainer |
| 869 | OK | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1285033449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 KAYLEE WAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731324802",
"telephone_number": "817-913-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 KAYLEE WAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731324802",
"telephone_number": "817-913-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUYKENDALL",
"first_name": "KLINTON",
"middle_name": "KYLE",
"credential": "M.ED, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4787",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.