Individual
BLAYNE ANDREW LYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1882
(502) 587-4698
Mailing address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(502) 852-8695
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/07/2022
Last updated
03/14/2025
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