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Kyle Asbury

Student in an Organized Health Care Education/Training Program in Springfield, MO. Individual provider (NPI-1).

NPI number1770212045
StatusActive
Last updated in NPPESJun 9, 2022

Details

NPI
1770212045
Entity type
Individual (NPI-1)
Name
Kyle Asbury
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2022
Certification date
Jun 9, 2022
Last updated
Jun 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

901 S National Ave
Springfield, MO 65897-0027

Phone 417-836-5000

Mailing address

1735 W Bennett St Apt K302
Springfield, MO 65807-7854

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