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Individual

DANIEL KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
102 S SAINT CLOUD ST, ALLENTOWN, PA 18104-6726
(484) 765-5301
Mailing address
339 RACE ST, APT #C3, EAST STROUDSBURG, PA 18301-1226

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006634
PA
2255A2300X
Athletic Trainer
NJ

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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