Individual
KEVIN MICHAEL SHUBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1 JETS DR, FLORHAM PARK, NJ 07932-1215
(973) 549-4703
Mailing address
1 JETS DR, FLORHAM PARK, NJ 07932-1215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002826
VA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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