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NPI 1649894031

NPI 1649894031 : KEVIN LEE FELDMAN DPT, PT, ATC, MS : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1649894031
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN LEE FELDMAN DPT, PT, ATC, MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/02/2020
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    5606 N UNION BLVD 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80918-1940
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    Country              |    US
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    Telephone            |    719-260-9611
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4385 WORDSWORTH CIR N 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80916-3123
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    Country              |    US
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    Telephone            |    505-819-8642
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PTL.0020989
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    License Number State |    CO
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