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

KYLEE JACKSON, MED, ATC, LAT

Active

KYLEE JACKSON, MED, ATC, LAT is a Athletic Trainer healthcare provider located in MOORE, Oklahoma. NPI 1508360595 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MOORE, OK

Registration Details

NPI Number
1508360595
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2018 (8.3667868312472 yrs)
Last Updated
Mar 22, 2018
License
888 (OK)

Practice Information

Address
300 N EASTERN AVE
MOORE, OK, 731606999
Browse OK providers · Browse ZIP 73160
Phone
4057354700
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MOORE, OK

Name Credential NPI
MR. LANDON WADE KERSEY ATC, LAT 1326350380
CHRIS TROBAUGH 1508253279
KYLE LARNEY ATC 1790163921
MR. HEATH PRATT CSCS 1689031270
NICHOLAS RYAN BEASLEY ATC, CSCS, CES 1013404342
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.