KEVIN BLANCO

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1104362581

Practice Address

163 VIRGINIA RD
Montreat, NC 28757

Phone: (704) 740-0657

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 39540533 (NC)
Student in an Organized Health Care Education/Training Program 390200000X No 39540533 (NC)

Frequently Asked Questions

NPI 1104362581 is the National Provider Identifier for KEVIN BLANCO, a Specialist/Technologist - Athletic Trainer provider located in Montreat, NC. This NPI was enumerated on January 10, 2017.
KEVIN BLANCO practices at 163 VIRGINIA RD, Montreat, NC 28757.

Quick Facts

NPI
1104362581
Type
Individual
Enumerated
Jan 10, 2017
Last Updated
Jan 10, 2017

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