Individual
NATHAN A KIRTLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000016090
IN
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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