Individual
KYLE ANDREW LEAPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3032 BROADWAY ST, QUINCY, IL 62301-3708
(217) 617-3412
Mailing address
994 E 2000TH ST, LIBERTY, IL 62347-3405
(217) 617-3412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004123
IL
2255A2300X
Athletic Trainer
2016026851
MO
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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