Individual
KYLE BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 GRIDLEY AVE, ERIE, PA 16508-2958
(814) 602-6819
Mailing address
241 GRIDLEY AVE, ERIE, PA 16508-2958
(814) 602-6819
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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