Individual
KYLE SEAMUS JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9400 CHIPPENHAM DR, LAUREL, MD 20723-5967
(301) 346-8872
Mailing address
9400 CHIPPENHAM DR, LAUREL, MD 20723-5967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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