Individual
MR. KENRICK EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPP COACH
Contact information
Practice address
205 E 42ND ST FL 13, NEW YORK, NY 10017-5773
(917) 749-0199
Mailing address
205 E 42ND ST FL 13, NEW YORK, NY 10017-5773
(917) 749-0199
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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