KYLE JORDAN FRERKING

MARYVILLE, MO
NPI1700580701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-03-27
Last Update Date2024-07-02
Business Address
KYLE JORDAN FRERKING LAT, ATC
800 UNIVERSITY DR
MARYVILLE, MO 64468-6001
Phone number: 816-783-7179
Mailing Address
KYLE JORDAN FRERKING LAT, ATC
116 N DEPOT ST
MARYVILLE, MO 64468-1948
Phone number: 816-783-7179
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