Kevin P Lennon

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

32 Graham Ave
Cortland, NY 13045-2452

Phone

(607) 753-2011

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1043986847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HARGROVE DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902306",
            "telephone_number": "631-848-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GRAHAM AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452452",
            "telephone_number": "607-753-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "KEVIN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lawrence, RN
• Erin M Lawrence, PA-C
• James Fuller Lawsing III, M.D.
• Lisa M Lawsing, FNP
• Shyquiera Lee, LMSW
• James Samuel Leonard, D.P.M.
• Kelly Anne Leonard
• Kevin B Leuthauser
• Eric R Levasseur, ATC
• Robert M Levine, LMSW

• Athletic Trainer in Cortland, NY
• Providers in Cortland, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.