Individual
KYLE LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7001 W 56TH ST, INDIANAPOLIS, IN 46254-9725
(317) 808-5234
(317) 297-8086
Mailing address
1277 OAK RIDGE CT, BROWNSBURG, IN 46112-8175
(317) 362-5168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001862A
IN
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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