Active NPI
Kaylene Bay Matlack, MS, LAT, ATC
- Athletic Trainer
- Hutchinson, KS
National Provider Identifier
1720860935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-01775
- Practice address
- 1300 N Plum St
Hutchinson, KS 67501-5831 - Phone
- (620) 728-8190
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-01775 | KS | Primary |
Addresses
Primary practice location
1300 N Plum St
Hutchinson, KS 67501-5831
Mailing address
4401 S Worthington Rd
Burrton, KS 67020-8877
Phone (620) 931-8263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-01775 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1720860935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 S WORTHINGTON RD",
"city": "BURRTON",
"state": "KS",
"postal_code": "670208877",
"telephone_number": "620-931-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N PLUM ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015831",
"telephone_number": "620-728-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLACK",
"first_name": "KAYLENE",
"middle_name": "BAY",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-01775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.