Individual
KYLE B HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1025 30TH ST, ROCK ISLAND, IL 61201-2804
(563) 370-9992
Mailing address
1411 5TH ST, ORION, IL 61273-7748
(309) 222-3374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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