Individual
MATTHEW KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
379 FIELD HOUSE DR, COLLEGE PARK, MD 20742-0001
(240) 417-1611
Mailing address
3817 MYSTIC COVE CT, VIRGINIA BEACH, VA 23455-2913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MD
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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