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

Tyler Kenneth Killingsworth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710845623

Tyler Kenneth Killingsworth is a Student in an Organized Health Care Education/Training Program in Clayton, Alabama. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

88 Eufaula Ave
Clayton, AL 36016-2007
Phone: (334) 689-1965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710845623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026