NPI 1043986847

Kevin P Lennon

Practitioner Athletic Trainer Cortland, NY

Practice location

Address: 32 Graham Ave, Cortland, NY 13045-2452
Phone: (607) 753-2011
Mailing address: 16 Hargrove Dr, Stony Brook, NY 11790-2306

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043986847
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2021
Record last updated: 20 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.