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

Individual provider Athletic Trainer · NPI 1508360595

Kylee Jackson, MED, ATC, LAT is an Athletic Trainer in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

300 N Eastern Ave
Moore, OK 73160-6999
Phone: (405) 735-4700
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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 888 (OK)

Record details

NPI number1508360595
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ATC , LAT
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESMarch 22, 2018
Mailing address9501 S I 35 Service Rd Apt 820, Moore, OK 73160-3150

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