Individual
KYLE YOUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 N 56TH ST, LINCOLN, NE 68504-3251
(402) 467-5404
Mailing address
9616 FOREST GLEN DR, LINCOLN, NE 68526-6060
(402) 271-2595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
557
NE
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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