Individual
KIMBERLY R EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12181 FGCU LAKE PKWY E, FORT MYERS, FL 33965-6500
(732) 948-2009
Mailing address
11121 EVERBLADES PKWY APT 203, ESTERO, FL 33928-9545
(732) 948-2009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2022
Last updated
07/25/2023
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