Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KHYLE EDMUND RADKE, ATC
ActiveMR. KHYLE EDMUND RADKE, ATC is a Athletic Trainer healthcare provider located in TRACY, Minnesota. NPI 1780648279 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TRACY, MN
Registration Details
- NPI Number
- 1780648279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2006 (20.318037196763 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1891 (MN)
Practice Information
- Address
-
251 5TH ST ETRACY, MN, 561751536Browse MN providers · Browse ZIP 56175
- Phone
- 5072124168
- Fax
- 5072124166
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.