Individual
KAITLIN JULIA DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, ATC
Contact information
Practice address
4200 DAHLBERG DR, GOLDEN VALLEY, MN 55422-4840
(952) 388-0251
Mailing address
14818 QUAMBA ST NE, HAM LAKE, MN 55304-6338
(763) 370-9296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022751
MN
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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