Individual
MR. MATTHEW KICKLIGHTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
3200 MEDICAL CENTER, VANDERBILT UNIVERSITY MED, SOUTH TOWER SUITE 3200, NASHVILLE, TN 37212
(615) 322-7878
Mailing address
8328 TRADING POST CT, NASHVILLE, TN 37221-6520
(615) 418-1033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
954
TN
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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