Individual
KEVIN MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
646 MAIN ST, WEST CREEK, NJ 08092-9757
(732) 785-3000
Mailing address
646 MAIN ST, WEST CREEK, NJ 08092-9757
(732) 785-3000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00031
NJ
Other
Enumeration date
11/30/2013
Last updated
11/30/2013
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