Individual
KIMBERLY LYNN NOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC L
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 936-3181
Mailing address
17692 LINCOLN HWY, PLYMOUTH, IN 46563-8857
(765) 427-2399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000934A
IN
Other
Enumeration date
02/11/2006
Last updated
07/08/2007
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