Individual
VIRGINIA KYLE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
815 W MARKET ST, GREENSBORO, NC 27401-1875
(336) 272-7102
Mailing address
615 W 32ND ST, RICHMOND, VA 23225-3439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4357
NC
Other
Enumeration date
04/09/2018
Last updated
12/04/2019
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