Kyle Joseph Prothro in Charleston - Athletic Trainer

Kyle Joseph Prothro - NPI 1306046479

Kyle Joseph Prothro is a Athletic Trainer in Charleston, South Carolina. Kyle Joseph Prothro practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kyle Joseph Prothro is 1306046479. The last update date is 2016-10-01.

Kyle Joseph Prothro's current location address is 2145 Henry Tecklenburg Dr, Charleston, South Carolina. You can contact this provider via phone number 8438722720. The mailing address for Kyle Joseph Prothro is 2145 Henry Tecklenburg Dr, Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle Joseph Prothro
Address 2145 Henry Tecklenburg Dr, Charleston, South Carolina
Phone Number 8438722720
Fax Number
Sole Proprietor N
Credentials A.T.C.

NPI Number Detail

NPI Number 1306046479
Provider Enumeration Date 2007-07-18
Last Updated Date 2016-10-01

Provider Mailing Address Detail

Address 2145 Henry Tecklenburg Dr
City Charleston
State South Carolina (SC)
Post Code 294145893
Phone Number 8438722720
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50702214 NATABOC
1248 SC SCDHEC

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FAQs about Kyle Joseph Prothro

What is the unique 10-digit identification code assigned to Kyle Joseph Prothro by the Centers for Medicare & Medicaid Services?

The Kyle Joseph Prothro has been issued the NPI (National Provider Identifier) 1306046479, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kyle Joseph Prothro's facilities are situated?

The facilities of Kyle Joseph Prothro are physically located at the following address: 2145 Henry Tecklenburg Dr, Charleston, SC, 294145893.

What is Kyle Joseph Prothro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kyle Joseph Prothro is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.

On what date did the Kyle Joseph Prothro receive the assignment of its 1306046479 from the Centers for Medicare & Medicaid Services?

The Kyle Joseph Prothro was issued its 1306046479 by the Centers for Medicare & Medicaid Services on 2007-07-18.

As of what date was the information regarding Kyle Joseph Prothro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kyle Joseph Prothro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-10-01.

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