Individual
KAITLYN ROSE NIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1845 FAIRMOUNT ST, WICHITA, KS 67260-9700
(630) 536-6263
Mailing address
2859 N BOULDER DR APT 21, WICHITA, KS 67226-3152
(630) 536-6263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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