Kylie Lange

NPI #1851106587 in Mequon, Wisconsin

Provider Information

NPI Number: 1851106587
Entity Type: Individual
Name: Kylie Lange
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 10, 2025
Last Updated: Feb 10, 2025

Practice Location

Address: 12800 N LAKE SHORE DR
City: Mequon
State: Wisconsin
ZIP Code: 53097-2418
Phone: (262) 243-5700

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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