KYLE DOLAN

COLUMBIA, SC
NPI1417317348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  1628)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  2000015215)
Enumeration Date2016-03-04
Last Update Date2016-03-04
Business Address
-- KYLE DOLAN ATC
2 MEDICAL PARK RD STE 104
COLUMBIA, SC 29203-6839
Phone number: 803-434-6812
Mailing Address
-- KYLE DOLAN ATC
1015 CATAWBA CIR
COLUMBIA, SC 29201-5252
Phone number: 978-697-4943