Individual
KAITLIN KUNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 RIVERS ST, BOONE, NC 28608-0001
(828) 262-2000
Mailing address
6036 ACADIAN WOODS DR, CHARLOTTE, NC 28227-3322
(704) 208-7623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900621642
STUDENT ID
NC
Enumeration date
03/28/2019
Last updated
03/28/2019
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