Hailey Elaine Kimball

NPI #1083102099 in Broken Arrow, Ohio

Provider Information

NPI Number: 1083102099
Entity Type: Individual
Name: Hailey Elaine Kimball
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 25, 2018
Last Updated: Apr 25, 2018

Practice Location

Address: 7251 SOUTH 301ST EAST AVENUE
City: Broken Arrow
State: Ohio
ZIP Code: 74014
Phone: (918) 645-6525

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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