Active NPI
Kyler King, ATC, LAT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Bartlesville, OK
National Provider Identifier
1346698446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 900
- Practice address
- 2201 Silver Lake Rd
Bartlesville, OK 74006-6233 - Phone
- (620) 205-8888
- NPI assigned
- May 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 900 | OK | Primary |
Addresses
Primary practice location
2201 Silver Lake Rd
Bartlesville, OK 74006-6233
Mailing address
1026 N 4TH
Independence, KS 67301
Phone (620) 205-8888
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1346698446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 N 4TH",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "67301",
"telephone_number": "620-205-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 SILVER LAKE RD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740066233",
"telephone_number": "620-205-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KYLER",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "OK",
"license": "900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.