Individual
KEVIN JOSEPH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, MSED, CSCS
Contact information
Practice address
1 WEBSTER AVE STE 400, POUGHKEEPSIE, NY 12601-1363
(845) 454-8377
Mailing address
15 PEMBROKE CIR APT D, WAPPINGERS FALLS, NY 12590-5649
(845) 594-2985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001693
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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