Individual
MRS. HALEY AUSTIN MIDKIFF BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
500 CLINIC DR, HOPKINSVILLE, KY 42240-4991
(270) 707-3387
Mailing address
18824 COLLINS BRIDGE RD, DAWSON SPRINGS, KY 42408-9222
(270) 339-7410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1254
KY
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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