MEDICARE: MR. KEVIN P LANGAN PT

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	4771	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	066615	OTHER	CO	MEDICARE GROUP #

Other Identifiers

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

General Provider Information

NPI Number	:	1598754319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN P LANGAN PT

Provider Business Mailing Address
First Line	:	274 UNION BLVD STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1836
Country	:	US
Telephone Number	:	303-232-9391
Fax Number	:

Provider Business Practice Location Address
First Line	:	274 UNION BLVD STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1836
Country	:	US
Telephone Number	:	303-232-9391
Fax Number	:

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

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	10/26/2022

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Directions to “ MR. KEVIN P LANGAN PT” Practice Location

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