Individual
KEVIN J MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PES
Contact information
Practice address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(978) 857-6016
Mailing address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(978) 857-6016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
972904
MA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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