Individual
KYLIE ANN HOOGENDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 PLESANT ACRES DR., MCCALL, ID 83638-1629
(208) 315-4231
Mailing address
PO BOX 1629, MCCALL, ID 83638-1629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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