Individual
KYLA LANAYA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 DEER RUN RD, NEWARK, OH 43055-1770
(740) 358-6276
Mailing address
1435 DEER RUN RD, NEWARK, OH 43055-1770
(740) 358-6276
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT007036
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2021
Last updated
06/28/2024
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