Individual
MR. KYLE JOSEPH GREHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2000
Mailing address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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