Individual
KYLE MATTHEW VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, EMR
Contact information
Practice address
301 S BOBCAT DR, EUNICE, LA 70535-4266
(337) 457-3011
Mailing address
123 N DAVID ST, CHURCH POINT, LA 70525-2918
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH200363
LA
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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