Individual
MR. STEVEN WILLIAM KENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
GIANTS STADIUM, EAST RUTHERFORD, NJ 07436
(201) 939-5812
Mailing address
11 CHEROKEE TRL, OAKLAND, NJ 07436-3011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00032500
NJ
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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