Individual
CASEY JORDAN KIMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MATRN, ATC
Contact information
Practice address
8415 PAINE FIELD BLVD, MUKILTEO, WA 98275-3239
(800) 464-1476
Mailing address
12102 4TH AVE W APT 16-102, EVERETT, WA 98204-5774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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