Individual
KYLE SROKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
320 S MAIN ST, OLIVET, MI 49076-9724
(269) 749-4169
(269) 749-4144
Mailing address
320 S MAIN ST, OLIVET, MI 49076-9724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002164
MI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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