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Kyle Payne, ATC

Specialist/Technologist, Athletic Trainer in Greeley, CO. Individual provider (NPI-1).

NPI number1902257546
StatusActive
Last updated in NPPESJun 24, 2016

Details

NPI
1902257546
Entity type
Individual (NPI-1)
Name
Kyle Payne
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2016
Last updated
Jun 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer0000954COYes

Practice location

324 51st Ave
Greeley, CO 80634-4226

Phone 970-301-3920

Mailing address

324 51st Ave
Greeley, CO 80634-4226

Phone 970-301-3920

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