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Individual

KAYLENE BAY MATLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
1300 N PLUM ST, HUTCHINSON, KS 67501-5831
(620) 728-8190
Mailing address
4401 S WORTHINGTON RD, BURRTON, KS 67020-8877
(620) 931-8263

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01775
KS

Other

Enumeration date
10/23/2023
Last updated
07/10/2025
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