Individual
MR. CLARENCE D REPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS,AT,LAT
Contact information
Practice address
68 CAVALIER BLVD, SUITE NUMBER 1700, FLORENCE, KY 41042-1645
(859) 283-0707
(859) 647-3022
Mailing address
68 CAVALIER BLVD, SUITE NUMBER 1700, FLORENCE, KY 41042-1645
(859) 283-0707
(859) 647-3022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT003583
OH
2255A2300X
Athletic Trainer
Primary
AT137
KY
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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