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NPI Code Detail

MEDICARE: KEVIN PATRICK MINCHIN

MEDICARE: KEVIN PATRICK MINCHIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3612NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093221947
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN PATRICK MINCHIN
Provider Business Mailing Address
First Line : PO BOX 777851
Second Line :
City : HENDERSON
State : NV
Zip : 89077-7851
Country : US
Telephone Number : 702-893-3333
Fax Number : 702-893-0960
Provider Business Practice Location Address
First Line : 2235 E FLAMINGO RD STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5186
Country : US
Telephone Number : 702-893-3333
Fax Number : 702-893-0960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 03/17/2018

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Directions to “ KEVIN PATRICK MINCHIN ” Practice Location

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