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KENNETH EARL MOORE ATC
NPI 1669409967
Specialist/Technologist - Athletic Trainer in Idabel, OK

Active since June 26, 2006
901 LINCOLN RD, IDABEL, OK 74745(580) 212-9785 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Earl Moore Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH EARL MOORE ATC (NPI 1669409967) is an individual athletic trainer provider in Idabel, Oklahoma, licensed in Oklahoma (AT-66) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1669409967
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKENNETH EARL MOORECredential: ATC
Location Address901 LINCOLN RDIdabel, OK 74745-7802
Mailing Address300 High StIdabel, OK 74745-4023 · (580) 208-2804
Phone(580) 212-9785
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669409967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in OK · AT-66
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-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
901 LINCOLN RD, Idabel, OK 74745
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Moore's NPI number?

The NPI number for Kenneth Moore is 1669409967. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Kenneth Moore located?

Kenneth Moore practices at 901 Lincoln Rd, Idabel, OK 74745. The listed phone number is (580) 212-9785.

What is Kenneth Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kenneth Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.