Katie Kyzar, ATC
Individual provider Active NPI Athletic Trainer · Raymond, MS
NPI 1467110601 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1467110601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT0779 (MS)
- Practice address
- 608 Hinds Blvd
Raymond, MS 39154-8246 - Phone
- (601) 857-3325
- NPI assigned
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0779 | MS | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0779 | MS | Yes |
Addresses
Primary practice location
608 Hinds Blvd
Raymond, MS 39154-8246
Mailing address
PO Box 1100
Raymond, MS 39154-1100
Phone (601) 498-4896
Other providers in Raymond, MS
- Graceful Serenity LLC
- Rosalind Hammond
- Healing Hands Pharmacy Solutions
- Hinds County School District
- Rodnecia Joiner
- McGee Medical LLC
- Dodie D McGee
- Samantha Mihalic
- Minor Med Care, LLC
- Mississippi Dental Center of Raymond
All providers in Raymond, MS · Athletic Trainer in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.