Individual
KYLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6863 ELWYNNE DR, CINCINNATI, OH 45236-4023
(614) 736-6845
Mailing address
6863 ELWYNNE DR, CINCINNATI, OH 45236-4023
(614) 736-6845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004653
OH
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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