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Individual

MRS. AMBER DAWN KIVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC, CSCS, OTC

Contact information

Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-3420
(317) 745-8340
Mailing address
5727 W MCCLURE ROAD, MONROVIA, IN 46157
(317) 996-3713

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000912A
IN

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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