Individual
KENNETH DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1419 SALT SPRINGS RD, SPORTS MEDICINE DEPARTMENT, SYRACUSE, NY 13214-1302
(315) 445-4417
Mailing address
116 GRAY AVE, 2B, SYRACUSE, NY 13203-1414
(315) 222-3644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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