Active NPI
Kyle Kmech, ATC, LAT, MBA
- Athletic Trainer
- Westerville, OH
National Provider Identifier
1861907495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT005838
- Practice address
- 6100 N Hamilton Rd
Westerville, OH 43081-2062 - Phone
- (614) 366-2716
- NPI assigned
- Dec 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | AT005838 | OH | Primary |
Addresses
Primary practice location
6100 N Hamilton Rd
Westerville, OH 43081-2062
Mailing address
301 Demonbreun St Unit 1303
Nashville, TN 37201-2240
Phone (615) 712-4650
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 Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT005838 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1861907495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 DEMONBREUN ST UNIT 1303",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372012240",
"telephone_number": "615-712-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 N HAMILTON RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812062",
"telephone_number": "614-366-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KMECH",
"first_name": "KYLE",
"credential": "ATC, LAT, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT005838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.