Individual
SETH KARDASOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13102 E 88TH ST N, OWASSO, OK 74055-4747
(916) 990-6912
Mailing address
203 S RIVERFRONT DR APT 307, JENKS, OK 74037-5678
(916) 990-6912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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