Individual
KEN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 PATRIOT PL, FOXBOROUGH, MA 02035-5100
(508) 543-4900
Mailing address
53 BURNT SWAMP RD, WRENTHAM, MA 02093-1737
(774) 307-3175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3608
MA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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