Individual
MR. FRED WYNN HINA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2432 S FLOYD ST, LOUISVILLE, KY 40209-1805
(502) 852-0116
(502) 852-0808
Mailing address
2432 S FLOYD ST, LOUISVILLE, KY 40209-1805
(502) 852-0116
(502) 852-0808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT128
KY
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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