Individual
KEVIN DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C,
Contact information
Practice address
3356 E SWALLOW ST, SPRINGFIELD, MO 65804-4868
(417) 818-2508
Mailing address
3356 E SWALLOW ST, SPRINGFIELD, MO 65804-4868
(417) 818-2508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00167
MO
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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