Individual
MR. KEVIN MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3 MILLHOLLAND DR UNIT B, FISHKILL, NY 12524-1553
(914) 584-6660
Mailing address
3 MILLHOLLAND DR UNIT B, FISHKILL, NY 12524-1553
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000918
NY
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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