Individual
KYLE JORDAN FRERKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
800 UNIVERSITY DR, MARYVILLE, MO 64468-6001
(816) 783-7179
Mailing address
116 N DEPOT ST, MARYVILLE, MO 64468-1948
(816) 783-7179
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
07/02/2024
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