Individual
KEVIN MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12500 CAMPUS DR, OAKLAND, CA 94619-3107
(510) 436-2659
Mailing address
14448 WAKE AVE, SAN LEANDRO, CA 94578-1742
(510) 483-2835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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