Individual
KIRBY TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4729 CALE CT, WALKERTOWN, NC 27051-9516
(336) 682-8466
Mailing address
4729 CALE CT, WALKERTOWN, NC 27051-9516
(336) 682-8466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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