Individual
KEVIN KOSIOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
376 HALE ST, BEVERLY, MA 01915-2096
(603) 667-7697
Mailing address
929 LOCKEHAVEN RD, ENFIELD, NH 03748-4017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3433
MA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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