Individual
KYLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 OHIO UNIVERSITY, ATHENS, OH 45701-2942
(740) 207-7573
Mailing address
381 E FRANKLIN ST, CIRCLEVILLE, OH 43113-1832
(740) 207-7573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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