Individual
BRIAN KANTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 DORCHESTER DR, NOBLESVILLE, IN 46062-9030
(317) 964-1432
Mailing address
612 DORCHESTER DR, NOBLESVILLE, IN 46062-9030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
01/30/2023
Last updated
07/24/2023
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