Individual
KRISTOPHER CHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2751 O'VARSITY WAY, SUITE 265, CINCINNATI, OH 45219
(513) 556-4352
Mailing address
20 WOODLAND HILLS DR STE 3, SOUTHGATE, KY 41071-2990
(859) 468-4088
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004179
OH
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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