Individual
KYLE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
324 51ST AVE, GREELEY, CO 80634-4226
(970) 301-3920
Mailing address
324 51ST AVE, GREELEY, CO 80634-4226
(970) 301-3920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000954
CO
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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