Individual
KYLE KUMAR SCHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(510) 230-3312
Mailing address
6168 BERNHARD AVE, RICHMOND, CA 94805-1236
(510) 230-3312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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