Individual
TYLER PATRICK KILLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2152 CHESTERFIELD LOOP, CHESAPEAKE, VA 23323-6665
(757) 285-8565
Mailing address
2152 CHESTERFIELD LOOP, CHESAPEAKE, VA 23323-6665
(757) 285-8565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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