Kyle David Miller
Individual provider Active NPI Athletic Trainer · Zionsville, PA
NPI 1689404204 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1689404204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 6450 Meadowview Terr S
Zionsville, PA 18092 - Phone
- (267) 987-2679
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
6450 Meadowview Terr S
Zionsville, PA 18092
Mailing address
6450 Meadowview Ter S
Zionsville, PA 18092-2090
Phone (267) 987-2679
Other providers in Zionsville, PA
- Lori Huey
- Danielle Kistler
- Christina Anne Kulp
- Eileen M Labowski
- Rachel Lara Little
- Gregory Day Mondragon
- Hannah Parker
- Emily Rosak
- Sacred Heart Healthcare System
All providers in Zionsville, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. 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.