Individual
MR. KEVIN M TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
400 MEADOWBROOK DR, DEFIANCE, OH 43512-4317
(419) 785-4002
Mailing address
400 MEADOWBROOK DR, DEFIANCE, OH 43512-4317
(419) 785-4002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1376
OH
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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