Individual
KATHRYN LARKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2818 CHERRY ST, MOUNT VERNON, IL 62864-2443
(903) 376-9849
Mailing address
2818 CHERRY ST, MOUNT VERNON, IL 62864-2443
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002977
IL
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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