Individual
KEVIN ANDREW FLANIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4745 OGLETOWN STANTON RD STE 225, NEWARK, DE 19713-1340
(302) 731-2888
Mailing address
2500 PECKSNIFF RD, WILMINGTON, DE 19808-4201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000673
DE
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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