Individual
KYNDALL LEIGH SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16002 ROSETHORN CT, CYPRESS, TX 77429-3490
(832) 703-9336
Mailing address
16002 ROSETHORN CT, CYPRESS, TX 77429-3490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110216
NATA
—
Enumeration date
11/03/2020
Last updated
11/03/2020
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