Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KYLE MICHAEL JOHNSON, ATC
Active Sole ProprietorMR. KYLE MICHAEL JOHNSON, ATC is a Athletic Trainer healthcare provider located in SPRINGFIELD, Illinois. NPI 1528070539 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1528070539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2006 (19.977970000917 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 E CARPENTER ST1-BSPRINGFIELD, IL, 627025185Browse IL providers · Browse ZIP 62702
- Phone
- 2177448000
- Fax
- 2177448004
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JERRY L. SULLIVAN JR. | ATC | 1306909551 |
| MISS CASSIE A. DORSEY | ATC | 1588781439 |
| KERI ANNE SNYDER | MS, ATC, PES | 1770869943 |
| MR. TENSHI FURUMI | MA, ATC | 1447519111 |
| MR. PETER MARTIN STOLL | LAT, EMT-B | 1205181906 |
| JENNIFER LEE SHURTZ | MS, ATC | 1609121466 |
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.