Jeffrey Kyler Fear

NPI #1104351519 in Oblong, Illinois

Provider Information

NPI Number: 1104351519
Entity Type: Individual
Name: Jeffrey Kyler Fear
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 23, 2017
Last Updated: Apr 23, 2017

Practice Location

Address: 404 E MAIN ST
City: Oblong
State: Illinois
ZIP Code: 62449-1417
Phone: (618) 553-8415

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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