Individual
MR. KEVIN LLORENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1178 FLATBUSH AVE, BROOKLYN, NY 11226-7005
(718) 940-8100
Mailing address
117 MAGNOLIA AVE APT 2LR, JERSEY CITY, NJ 07306-1866
(347) 581-3556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
046763
NY
Other
Enumeration date
12/10/2020
Last updated
04/23/2024
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