Individual
MR. KYLE ADAM GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
295 MAIN ST, PITTSFIELD, ME 04967-4502
(207) 416-8594
Mailing address
295 MAIN ST, PITTSFIELD, ME 04967-4502
(207) 416-8594
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT478
ME
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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