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Individual

KYLE MATTHEW FLATEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
1140 NORTHWOOD DR APT 202, EAGAN, MN 55121-2077

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/11/2021
Last updated
09/03/2022
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