Individual
KEVIN PATRICK LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2885 LOKER AVE E, CARLSBAD, CA 92010-6626
(760) 681-8253
(636) 246-0041
Mailing address
5989 MERGENTHAL CT, WELDON SPRING, MO 63304-9129
(760) 681-8253
(636) 246-0041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
040502053
MO
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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