Individual
KEVIN C TRAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
94 SOUTH ST, SOUTHBRIDGE, MA 01550-4000
(508) 764-2772
(508) 764-2833
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
412
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
TRICARE CHAMPUS
—
01
—
64772
FALLON COMMUNITY HEALTH
—
01
—
8300940
EVERCARE
—
01
—
970022720
RAILROAD MEDICARE
—
01
—
AP0183
MEDICARE B
—
Enumeration date
01/09/2006
Last updated
03/24/2015
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