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Individual

MR. KYLE DANIEL HUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1500 E FAIRVIEW AVE, MONTGOMERY, AL 36106-2114
(334) 833-4088
(334) 833-4026
Mailing address
2000 BERRY CHASE PL, MONTGOMERY, AL 36117-6896
(404) 535-1322
(334) 833-4026

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1512
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1512
ALABAMA STATE LICENSE
AL
01
2000012748
ATHLETIC TRAINER BOARD OF CERTIFICATION
Enumeration date
07/21/2020
Last updated
07/21/2020
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