Individual
KIMBERLY RAE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 MEMORIAL DR APT 1404, CHATTANOOGA, TN 37415-5523
(760) 889-9800
Mailing address
621 MEMORIAL DR APT 1404, CHATTANOOGA, TN 37415-5523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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