Individual
ANDREW THOMAS KINGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 BENT OAK TRL, FAIRPORT, NY 14450-8949
(760) 470-3094
Mailing address
91 BENT OAK TRL, FAIRPORT, NY 14450-8949
(760) 470-3094
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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