Individual
KEVIN MINHKHA TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
190 S PROSPECT AVE, ELMHURST, IL 60126-3271
(630) 617-3707
Mailing address
1211 HOMESTEAD RD APT F, LA GRANGE PARK, IL 60526-1161
(323) 245-7021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2019
Last updated
06/16/2022
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