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Individual

KRISTAN ERDMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, EMT

Contact information

Practice address
412 N CHURCH ST APT 3, FAYETTE, MO 65248-1123
(859) 398-5398
Mailing address
412 N CHURCH ST APT 3, FAYETTE, MO 65248-1123
(859) 398-5398

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
51439
KY
2255A2300X
Athletic Trainer
Primary
2019016501
MO
2255A2300X
Athletic Trainer
AT697
KY

Other

Enumeration date
01/24/2007
Last updated
08/25/2020
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