Individual
KAYLA KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-5465
Mailing address
2599 DELCORE RD, OCONTO, WI 54153-9101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1987-39
WI
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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