Kyndle Moore, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-2453 Issued in NC

Practice address

1822 N Barkley Rd
Statesville, NC 28677-9730

Phone

(704) 450-4083

NPI assigned

Mar 8, 2014

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

State licenses

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1336565803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N BARKLEY RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N BARKLEY RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779730",
            "telephone_number": "704-450-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KYNDLE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Moore, FNP
• Erin Rochelle Moore, IBCLC, CD-DONA
• Janiyah Renee Moore, LCSWA
• Jennifer Pruitt Moore, L.P.C.
• Karson Collins Moore, AUD
• Lauren Burchette Moore, PHARMD
• Melody Lynn Moore, FNP
• Mooresville PPM, LLC
• Ann Green Moose, MSN, RN, FNP
• Katie Elizabeth Moose

• Athletic Trainer in Statesville, NC
• Providers in Statesville, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.