Individual
KEVIN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
240 PATRIOT PL, FOXBOROUGH, MA 02035-5100
(508) 543-4900
Mailing address
240 PATRIOT PL, FOXBOROUGH, MA 02035-5100
(508) 543-4900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3136
MA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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