Individual
KYLEY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15434 WHISPERING WILLOW DR, WELLINGTON, FL 33414-6385
(561) 386-4746
Mailing address
15434 WHISPERING WILLOW DR, WELLINGTON, FL 33414-6385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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