Individual
MARK E HILBURN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
709 RED DEVIL LN, RUSSELL, KY 41169-1561
(606) 836-9658
(606) 836-9650
Mailing address
PO BOX 781, FLATWOODS, KY 41139-0781
(606) 923-9848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT382
KY
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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