Individual
KEVIN ANTONIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 W WEBSTER AVE, ROSELLE PARK, NJ 07204-1617
(908) 245-4550
Mailing address
185 W WEBSTER AVE, ROSELLE PARK, NJ 07204-1617
(908) 245-4550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00146800
NJ
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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