Individual
MATTHEW KRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
555 BORROR DR, COLUMBUS, OH 43210
(614) 688-3939
Mailing address
222 W LANE AVE APT 904, COLUMBUS, OH 43201-4373
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2017
Last updated
07/02/2020
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