Individual
MR. KYLE WILLIAM CANAVALLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC.
Contact information
Practice address
350 NEW CAMPUS DR, BROCKPORT, NY 14420-2914
(585) 395-5374
Mailing address
350 NEW CAMPUS DR, BROCKPORT, NY 14420-2914
(585) 395-5374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004413
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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