Kyle David Adams, ATC

Individual provider Active NPI Athletic Trainer · Northport, AL

NPI 1487901369 · NPPES record last updated Aug 20, 2016

Key facts

NPI
1487901369
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
1325 McFarland Blvd
Northport, AL 35476-3270
Phone
(205) 333-4766
NPI assigned
Aug 9, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

1325 McFarland Blvd
Northport, AL 35476-3270

Mailing address

7651 Hwy 69 N Apt 206
Northport, AL 35473
Phone (678) 997-8822

Other providers in Northport, AL

All providers in Northport, AL · Athletic Trainer in Alabama

Sources for this page

Verify at the official NPI Registry.