Individual
MR. KYLE ANTHONY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20510 ROMAR LN, SANTA CLARITA, CA 91350-3801
(805) 906-9103
Mailing address
20510 ROMAR LN, SANTA CLARITA, CA 91350-3801
(805) 906-9103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/07/2019
Last updated
12/02/2021
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