Individual provider · Type 1 NPI
Kyle Brandon Polley, STUDENT
Sports Medicine (Family Medicine) Physician · La Grange, KY
Practice location
1023 New Moody Ln Ste 102
La Grange, KY 40031-9183
Fax (502) 222-7446
Mailing address
1901 Campus Pl
Louisville, KY 40299-2308
Other practice locations
- 500 S Preston St Rm 305, Louisville, KY 40202-1702 · (502) 852-8696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 61083 (KY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
2 other providers at this address
About NPI 1396302535
Kyle Brandon Polley, STUDENT's National Provider Identifier is 1396302535, issued on May 23, 2019. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in La Grange, KY. The record was last updated on Aug 18, 2026.