Individual provider · NPI-1

Kyle Garber Beatty, ATC

Specialist/Technologist, Athletic Trainer · Durham, NC

NPI number1780646893
StatusActive
Last updated in NPPESFeb 14, 2015

Details

NPI
1780646893
Entity type
Individual (NPI-1)
Name
Mr. Kyle Garber Beatty
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2006
Last updated
Feb 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer1600NCYes

Practice location

120 Whitford Dr
Yoh Football Center
Durham, NC 27708-9982

Phone 919-681-1422 · Fax 919-684-2102

Mailing address

120 Whitford Dr
Durham, NC 27708-9982

Phone 919-681-1422 · Fax 919-684-2102

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