Individual
KYLE MCCLURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S VICTORY WAY, KISSIMMEE, FL 34747
(407) 456-3366
Mailing address
243 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-4703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4859
FL
Other
Enumeration date
01/17/2017
Last updated
03/17/2018
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