Individual
KYLE FOSTER WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6475 S YALE AVE, SUITE 301, TULSA, OK 74136-7816
(918) 494-9300
(918) 494-9355
Mailing address
6475 S YALE AVE, SUITE 301, TULSA, OK 74136-7816
(918) 494-9300
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
772
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
772
OKLAHOMA STATE ATHLETIC TRAINING LICENSE NUMBER
OK
Enumeration date
07/31/2013
Last updated
05/24/2018
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