Individual
KATHRYN MCGOVERN
Active
Individual
KATHRYN MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAC, LAC, LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005453
NY
225700000X
Massage Therapist
024813
NY
Other
Enumeration date
11/04/2011
Last updated
12/06/2023
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