Individual
KYLIE A STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S MAIN ST APT 27, MOORESVILLE, NC 28115-3388
(574) 323-7904
Mailing address
600 S MAIN ST APT 27, MOORESVILLE, NC 28115-3388
(574) 323-7904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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