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1124084421
MATTHEW KICKLIGHTER
NASHVILLE, TN
NPI
1124084421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 954)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
MR. MATTHEW KICKLIGHTER ATC/L
3200 MEDICAL CENTER VANDERBILT UNIVERSITY MED, SOUTH TOWER SUITE 3200
NASHVILLE, TN 37212
Phone number: 615-322-7878
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Mailing Address
MR. MATTHEW KICKLIGHTER ATC/L
8328 TRADING POST CT
NASHVILLE, TN 37221-6520
Phone number: 615-418-1033
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