KEVIN KEITH TAYLOR

BOISE, ID
NPI1003998949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT-212)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
KEVIN KEITH TAYLOR MS, ATC
6485 W INTERCHANGE SUITE 103
BOISE, ID 83709
Phone number: 208-440-2488
Mailing Address
KEVIN KEITH TAYLOR MS, ATC
8157 W GALILEO ST
BOISE, ID 83709-7899
Phone number: 208-440-2488
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