Active NPI
Troy Tyler Kyser, ATC/L
- Athletic Trainer
- Knob Noster, MO
National Provider Identifier
1306234026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2017022929
- Practice address
- 138 NE FF Hwy
Knob Noster, MO 65336 - Phone
- (660) 563-0090
- NPI assigned
- Jan 5, 2015
- 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 | 2017022929 | MO | Primary |
Addresses
Primary practice location
138 NE FF Hwy
Knob Noster, MO 65336
Mailing address
4445 Terrace St Apt 207
Kansas City, MO 64111-7261
Phone (660) 563-0090
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 |
|---|---|---|---|
| 2017022929 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1306234026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 TERRACE ST APT 207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641117261",
"telephone_number": "660-563-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 NE FF HWY",
"city": "KNOB NOSTER",
"state": "MO",
"postal_code": "65336",
"telephone_number": "660-563-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYSER",
"first_name": "TROY",
"middle_name": "TYLER",
"name_prefix": "Mr.",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2017022929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knob Noster, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.