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Individual

GRACE KITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
425 S HUBBARDS LN APT 224, SAINT MATTHEWS, KY 40207-4090
(502) 457-8946
Mailing address
425 S HUBBARDS LN APT 224, SAINT MATTHEWS, KY 40207-4090
(502) 457-8946

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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