Individual
MR. KYLE L. NEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
905 SASSAFRAS CT, MONTICELLO, IN 47960-2584
(574) 583-2910
Mailing address
905 SASSAFRAS CT, MONTICELLO, IN 47960-2584
(574) 583-2910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000873A
IN
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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