Individual
JACOB LYNN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
700 MAIN CROSS ST, WARSAW, KY 41095-2013
(859) 991-5546
Mailing address
700 MAIN CROSS ST, WARSAW, KY 41095-2013
(859) 991-5546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1241
KY
Other
Enumeration date
04/22/2015
Last updated
07/06/2015
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