Individual
MR. KEVIN M SHEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
470 WESTERN HWY, ORANGEBURG, NY 10962-1210
(845) 848-6003
Mailing address
100 WOODHILLS DR APT 112, GOSHEN, NY 10924-1421
(845) 800-7614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000032471
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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