Individual
MR. KEVIN WILLIAM BRILES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
242 FRIES MILL RD, FRANKLINVILLE, NJ 08322-2503
(856) 694-0100
(856) 694-4615
Mailing address
242 FRIES MILL RD, FRANKLINVILLE, NJ 08322-2503
(856) 694-0100
(856) 694-4615
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00086700
NJ
2255A2300X
Athletic Trainer
RT004995
PA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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