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NPI Code Detail

MEDICARE: KEVIN V AU DPT

MEDICARE:   KEVIN V AU  DPT
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 Therapist302185CA

General Provider Information

NPI Number : 1174262836
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN V AU DPT
Provider Business Mailing Address
First Line : 940 BROOKTREE LN APT 52
Second Line :
City : VISTA
State : CA
Zip : 92081-8618
Country : US
Telephone Number : 415-298-2991
Fax Number :
Provider Business Practice Location Address
First Line : 981 LOMAS SANTA FE DR
Second Line :
City : SOLANA BEACH
State : CA
Zip : 92075-2144
Country : US
Telephone Number : 858-794-9995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/01/2022

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Directions to “ KEVIN V AU DPT” Practice Location

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