Kyli Leah Haines, MA, ATC, LAT
Individual provider Active NPI Athletic Trainer · Seward, NE
NPI 1700400504 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1700400504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 863 (NE)
- Practice address
- 800 N Columbia Ave
Seward, NE 68434-1500 - Phone
- (402) 643-7386
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 863 | NE | Yes |
Addresses
Primary practice location
800 N Columbia Ave
Seward, NE 68434-1500
Mailing address
3137 Fletcher Ave Apt 275
Lincoln, NE 68504-1045
Phone (308) 293-0640
Other providers in Seward, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2020. 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.