Individual
MR. KEVIN WAYNE TRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1800 LEGION DRIVE, DOBYNS-BENNETT HIGH SCHOOL, KINGSPORT, TN 37664
(423) 378-8537
(423) 378-8534
Mailing address
1010 CEDAR HILLS DR, CHURCH HILL, TN 37642-4414
(423) 357-4510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
882
TX
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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