Individual
KYLEE E GULLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4000 WHITING DR, MIDLAND, MI 48640-2398
(989) 837-4338
Mailing address
5820 VOICE RD, KINGSLEY, MI 49649-9792
(231) 499-9080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002748
MI
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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