Individual
KYLE PARKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2060 N LOWELL ST, PARKER CITY, IN 47368-9301
(765) 748-0748
Mailing address
PO BOX 4, PARKER CITY, IN 47368-0004
(765) 625-0295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/08/2024
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