Individual
MR. KYLE FREDERIC HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 756-1392
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 756-1392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004018
PA
Other
Enumeration date
09/13/2005
Last updated
11/10/2015
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