Individual
KYLE HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2901 GRANBY ST # 200, NORFOLK, VA 23504-1549
(571) 480-1989
Mailing address
388 BOUSH ST UNIT 124, NORFOLK, VA 23510-1360
(571) 480-1989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002646
VA
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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