Individual
KLINTON KYLE KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, ATC, LAT
Contact information
Practice address
7412 KAYLEE WAY, OKLAHOMA CITY, OK 73132-4802
(817) 913-7269
Mailing address
7412 KAYLEE WAY, OKLAHOMA CITY, OK 73132-4802
(817) 913-7269
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
869
OK
2255A2300X
Athletic Trainer
AT4787
TX
Other
Enumeration date
08/13/2014
Last updated
04/18/2017
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