Individual
KYLE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 S 18TH ST, ESTHERVILLE, IA 51334-2721
(712) 330-0180
Mailing address
3719 290TH ST, GRAETTINGER, IA 51342-8537
(712) 330-0180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00151
IA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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