Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KYLE JEFFREY KOSTYUN, ATC
Active Sole ProprietorMR. KYLE JEFFREY KOSTYUN, ATC is a Athletic Trainer healthcare provider located in FARMINGTON, Connecticut. NPI 1710910013 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FARMINGTON, CT
Registration Details
- NPI Number
- 1710910013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2006 (20.059306157237 yrs)
- Last Updated
- Jul 18, 2017
- License
-
010602021 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
399 FARMINGTON AVE3RD FLOORFARMINGTON, CT, 060321936Browse CT providers · Browse ZIP 06032
- Phone
- 8602840235
- Fax
- 8602840221
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT A MYRICK | ATC, CSCS, HFI | 1386639987 |
| MR. BRIAN N LEWTON | ATC | 1609854694 |
| CHRISTOPHER ALLEN BLAKE | ATC | 1245297845 |
| LAUREN EASTMAN | ATC | 1376906685 |
| MRS. KELLY ANNE PERKINS | L.A.T.C. | 1518316926 |
| MONIQUE MARCELINO | — | 1528591906 |
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.