Caitlyn E Champ

NPI #1053890699 in Kearney, Missouri

Provider Information

NPI Number: 1053890699
Entity Type: Individual
Name: Caitlyn E Champ
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 13102 WHITEHALL AVE
City: Kearney
State: Missouri
ZIP Code: 64060-9109
Phone: (816) 204-4162

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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