Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Earl Moore, ATC

Individual provider Athletic Trainer · NPI 1669409967

Kenneth Earl Moore, ATC is an Athletic Trainer in Idabel, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

901 Lincoln Rd
Idabel, OK 74745-7802
Phone: (580) 212-9785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-66 (OK)

Record details

NPI number1669409967
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address300 High St, Idabel, OK 74745-4023