MR. Wiltey Russell Kendle, ATC

NPI #1265637177 in Great Falls, Montana

Provider Information

NPI Number
1265637177
Entity Type
Individual
Name
MR. Wiltey Russell Kendle, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
228 17TH AVE NW
State
Montana
ZIP Code
59404-1807
Phone
(406) 268-6223

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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