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Individual
KYLIE MARIE GAINEY
Active
Individual
KYLIE MARIE GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000042369
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
Enumeration date
10/08/2018
Last updated
04/06/2022
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