Kayla Beth Cross, ATC
Individual provider Active NPI Athletic Trainer · Arcadia, FL
NPI 1659636900 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1659636900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2000009917 (FL)
- Practice address
- 27 W Magnolia St
Arcadia, FL 34266-3931 - Phone
- (863) 558-4832
- NPI assigned
- Jul 11, 2012
- 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 |
|---|---|---|---|
| 2000009917 | FL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000009917 | FL | Yes |
Addresses
Primary practice location
27 W Magnolia St
Arcadia, FL 34266-3931
Mailing address
27 W Magnolia St
Arcadia, FL 34266-3931
Phone (863) 558-4832
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2012. 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.