Kim Small, ATC
NPI #1023421542 in Long Branch, New Jersey
Provider Information
- NPI Number
- 1023421542
- Entity Type
- Individual
- Name
- Kim Small, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 3, 2014
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 404 INDIANA AVE
- Address 2
- ATHLETICS DEPARTMENT
- City
- Long Branch
- State
- New Jersey
- ZIP Code
- 07740-6122
- Phone
- (732) 229-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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