Individual
KYLIE HORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RIVER RD, ATHENS, GA 30602-1538
(706) 542-5060
Mailing address
260 SPRINGDALE ST APT 72, ATHENS, GA 30606-4282
(678) 457-0608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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