Individual
ELIAS KABBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
128 W HURON AVE STE B, BAD AXE, MI 48413-1177
(989) 269-2700
(989) 269-2705
Mailing address
128 W HURON AVE STE B, BAD AXE, MI 48413-1177
(989) 269-2700
(989) 269-2705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000482
MI
Other
Enumeration date
10/12/2020
Last updated
12/01/2020
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