Individual
KYLE ROEPNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 RESERVOIR RD, HERKIMER, NY 13350-1545
(315) 866-0300
(315) 866-1789
Mailing address
100 RESERVOIR RD, HERKIMER, NY 13350-1545
(315) 866-0300
(315) 866-1789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000417-1
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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