Kyle McClurg

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4859 Issued in FL

Practice address

700 S Victory Way
Kissimmee, FL 34747

Phone

(407) 456-3366

NPI assigned

Jan 17, 2017

Sex

Male

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669918579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 COLLEGE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S VICTORY WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34747",
            "telephone_number": "407-456-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460123462",
            "country_code": "US",
            "telephone_number": "616-821-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURG",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel McBride, DC
• Doretha Michele McBride, LCSW, CADC
• Allen McCall, DMD, MS
• Deidre McCall
• Nytionna L McClendon
• Lidia McCowan, COTA/L
• McCoy Vision Center, Inc.
• David Jon McCoy, O.D.
• Jamie Lee McCullers
• Sarika Marie McDavid, OTR

• Athletic Trainer in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.