Individual
KYLIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 NORTH COLLEGE STREET, ATHENS, OH 45701-9472
(215) 264-8993
Mailing address
214 FOX RUN DR, VENETIA, PA 15367-1428
(215) 264-8993
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
08/08/2016
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