Individual
PAUL DANIEL EIDENIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2857 LANDINGS WAY, BURLINGTON, KY 41005-7960
(937) 725-6363
Mailing address
2857 LANDINGS WAY, BURLINGTON, KY 41005-7960
(937) 725-6363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT740
KY
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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