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Individual

KYLE B KOSIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
175 N LOCUST HILL DR APT 2204, LEXINGTON, KY 40509-1580
(815) 383-8644
Mailing address
175 N LOCUST HILL DR APT 2204, LEXINGTON, KY 40509-1580

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1243
KY

Other

Enumeration date
11/12/2019
Last updated
11/12/2019
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