Individual
MR. KRIS LEE DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
300 STATE AVE, FARIBAULT, MN 55021-6319
(507) 333-3218
(507) 333-3259
Mailing address
300 STATE AVE, FARIBAULT, MN 55021-6319
(507) 333-3218
(507) 333-3259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1185
MN
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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