Individual
CHARLES TED EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, ATC, LAT
Contact information
Practice address
1301 PLEASANT VALLEY RD # 500, OWENSBORO, KY 42303-9774
(270) 417-7940
Mailing address
1301 PLEASANT VALLEY RD # 500, OWENSBORO, KY 42303-9774
(270) 417-7940
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1080
KY
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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