Individual
KIP PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
600 TABERNACLE RD, MEDFORD, NJ 08055-9732
(609) 654-7544
Mailing address
15 MILL CHASE RD, SOUTHAMPTON, NJ 08088-9640
(609) 760-6696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00056900
NJ
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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