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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN KEITH TAYLOR, MS, ATC

Active Sole Proprietor

KEVIN KEITH TAYLOR, MS, ATC is a Athletic Trainer healthcare provider located in BOISE, Idaho. NPI 1003998949 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BOISE, ID

Registration Details

NPI Number
1003998949
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.776672186802 yrs)
Last Updated
Jul 8, 2007
License
AT-212 (ID)
Sole Proprietor
Yes

Practice Information

Address
6485 W INTERCHANGE
SUITE 103
BOISE, ID, 83709
Browse ID providers · Browse ZIP 83709
Phone
2084402488
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BOISE, ID

Name Credential NPI
DR. DAVE LYNN HAMMONS I ATC 1285607598
MR. ERIC ANTHONY TAYLOR ATC 1013979046
ASHLEE NOEL HARLOW ATC 1619912458
JAMES FLOYD SPOONER ATC 1033154802
JESSE GEORGE COPS ATC, LAT 1770528333
MS. NICOLE LORRAINE CLARK LAT, ATC 1538196563
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.