Individual
JASON KIRKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10402 GLASSBOROUGH DR, ORLANDO, FL 32825-5924
(215) 360-4007
Mailing address
10402 GLASSBOROUGH DR, ORLANDO, FL 32825-5924
(215) 360-4007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2435
FL
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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