Kyle N Deaner

NPI #1144789587 in Somerset, Pennsylvania

Provider Information

NPI Number: 1144789587
Entity Type: Individual
Name: Kyle N Deaner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 15, 2019
Last Updated: Mar 15, 2019

Practice Location

Address: 141 SHAELI DR
City: Somerset
State: Pennsylvania
ZIP Code: 15501-1839
Phone: (814) 279-8964

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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