Individual
KYLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 NAISMITH DR, LAWRENCE, KS 66045-4069
(785) 393-4748
Mailing address
1651 NAISMITH DR, LAWRENCE, KS 66045-4069
(785) 393-4748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01002
KS
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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