Individual
TIM NEWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
333 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3428
(859) 344-3635
Mailing address
333 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3428
(859) 344-3635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT.004552
OH
2255A2300X
Athletic Trainer
Primary
AT1212
KY
Other
Enumeration date
11/02/2011
Last updated
06/08/2015
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