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

Mr. Kyle Patrick Moore, MS, ATC, LAT, CSCS

Individual provider Athletic Trainer · NPI 1477987139

Mr. Kyle Patrick Moore, MS, ATC, LAT, CSCS is an Athletic Trainer in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

40 Coal St
Wilkes Barre, PA 18702-5236
Phone: (570) 270-6432
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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 RT005261 (PA)

Record details

NPI number1477987139
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT , CSCS
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESAugust 1, 2014

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