Individual
KIMBERLY MIKULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248-1104
(660) 248-6978
Mailing address
8001 ELLA AVE, KANSAS CITY, KS 66112-2662
(913) 523-4541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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