Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kyle Aaron Conrod, PA-C, ATC/L

Individual provider Athletic Trainer · NPI 1285602847

Mr. Kyle Aaron Conrod, PA-C, ATC/L is a Physician Assistant in Saint Louis, Missouri. Qualified in 2011, 15 years ago. Licensed in Illinois and Missouri.

Years since qualifying
15
Licensed in
IL, MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122-3356
Phone: (314) 909-1359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2012013844 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 096.002251 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085004280 (IL)

Record details

NPI number1285602847
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC/L
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESMay 4, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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