Brandon Kleckner

NPI #1023416021 in Plymouth, Indiana

Provider Information

NPI Number: 1023416021
Entity Type: Individual
Name: Brandon Kleckner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 8, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 10339 KING RD
City: Plymouth
State: Indiana
ZIP Code: 46563-8651
Phone: (574) 952-9260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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