Individual
MR. KIYUN MAURICE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
10800 DENNIS CHAVEZ BLVD SW, ALBUQUERQUE, NM 87121-5498
(505) 243-1458
Mailing address
10800 DENNIS CHAVEZ BLVD SW, ALBUQUERQUE, NM 87121-5498
(505) 243-1458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
635
NM
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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