MEDICARE: KEVIN BELL

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
1	225100000X	Physical Therapist	PT292104	CA

General Provider Information

NPI Number	:	1295244531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN BELL

Provider Business Mailing Address
First Line	:	23969 VIA BOCINA
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-3118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23206 LYONS AVE STE 105
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-2671
Country	:	US
Telephone Number	:	661-383-9828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	09/28/2017

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Directions to “ KEVIN BELL ” Practice Location

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