Individual
KAREN MARIE KOUTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 LAKE SHORE RD S, DENVER, NC 28037-8239
(704) 929-1015
Mailing address
PO BOX 295, DENVER, NC 28037-0295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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