Individual
MR. KYLE RICHARD KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 O' VARSITY WAY SUITE 265, CINCINNATI, OH 45221-0021
(513) 556-4352
Mailing address
2751 O' VARSITY WAY SUITE 265, CINCINNATI, OH 45221-0021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005878
OH
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2016
Last updated
03/26/2020
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