Individual
KYLE LARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2000 SE 6TH ST, MOORE, OK 73160-8380
(405) 443-8161
Mailing address
2000 SE 6TH ST, MOORE, OK 73160-8380
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT574
OK
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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