Individual
CAITLYN E CHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13102 WHITEHALL AVE, KEARNEY, MO 64060-9109
(816) 204-4162
Mailing address
13102 WHITEHALL AVE, KEARNEY, MO 64060-9109
(816) 204-4162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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