Individual
MR. KYLE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
(702) 757-4236
Mailing address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506233
NV
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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