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KEVIN THOMAS MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
216 LANTANA DR, HOCKESSIN, DE 19707-8805
(302) 239-2800
(302) 239-7500
Mailing address
216 LANTANA DR, HOCKESSIN, DE 19707-8805
(302) 239-2800
(302) 239-7500

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000394
DE
2255A2300X
Athletic Trainer
RT001417A
PA

Other

Enumeration date
07/23/2011
Last updated
07/23/2011
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