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NPI Code Detail

MEDICARE: KEVIN CADENAS

MEDICARE: KEVIN CADENAS
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1164959698
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN CADENAS
Provider Business Mailing Address
First Line : 2121 N KENWOOD ST
Second Line :
City : BURBANK
State : CA
Zip : 91505-1424
Country : US
Telephone Number : 818-370-7625
Fax Number :
Provider Business Practice Location Address
First Line : 2121 N KENWOOD ST
Second Line :
City : BURBANK
State : CA
Zip : 91505-1424
Country : US
Telephone Number : 818-370-7625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2017
Last Update Date : 07/21/2022

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Directions to “ KEVIN CADENAS ” Practice Location

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