Individual
KYLE ALEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1365 PULASKI HWY, NEWARK, DE 19702-5105
(302) 356-4636
Mailing address
1365 PULASKI HWY, NEWARK, DE 19702-5105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000742
DE
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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