National Provider Identifier

Kyle Wells, MS, ATC

Kyle Wells, MS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Fairport, NY and a listed phone number of (585) 678-9575.

NPI 1316409469Fairport, NYAthletic Trainer

Profile Overview

NPI
1316409469
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
April 05, 2019
Last Updated
June 01, 2021

Practice Location

  • 22 Manor Hill Dr.
  • Fairport, NY 14450-1445

Phone: (585) 678-9575

Mailing Address

  • 22 Manor Hill Dr.
  • Fairport, NY 14450

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1316409469
Entity Type
Individual
Last Name
Wells
First Name
Kyle
Credential
MS, ATC
Mailing Street Address
22 Manor Hill Dr.
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Practice Street Address
22 Manor Hill Dr.
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1445
Practice Country
US
Practice Phone
(585) 678-9575
Enumeration Date
April 05, 2019
Last Updated
June 01, 2021
Sex
Male
Sole Proprietor
No
Certification Date
June 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)