Individual
KURT ALEXANDER VANKUIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4800 W 135TH ST STE 150, LEAWOOD, KS 66224-8717
(913) 963-6336
Mailing address
13881 W 138TH ST APT 206, OLATHE, KS 66062-5098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01239
KS
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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