Individual
KYLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
22 MANOR HILL DR., FAIRPORT, NY 14450-1445
(585) 678-9575
Mailing address
22 MANOR HILL DR., FAIRPORT, NY 14450
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
06/01/2021
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