Individual
MR. KHYLE EDMUND RADKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
251 5TH ST E, TRACY, MN 56175-1536
(507) 212-4168
(507) 212-4166
Mailing address
651 PINE ST, TRACY, MN 56175-1700
(507) 629-4382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1891
MN
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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