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Individual

KENNETH GEORGE SPY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
3334 CAPITAL MEDICAL BLVD STE 600, TALLAHASSEE, FL 32308-4483
(850) 877-8174
Mailing address
3334 CAPITAL MEDICAL BLVD STE 600, TALLAHASSEE, FL 32308-4483
(850) 877-8174

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5200
FL

Other

Enumeration date
09/07/2018
Last updated
09/07/2018
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