Individual
MR. KYLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2770 S FLOYD ST, LOUISVILLE, KY 40292-0001
(502) 852-3474
Mailing address
2770 SOUTH FLOYD STREET, LEXINGTON, KY 40292-0001
(502) 852-3474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT898
KY
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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