MEDICARE: DR. KEVIN D VERNON DPT, CSCS

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	174400000X	Specialist	7902	CO

General Provider Information

NPI Number	:	1811072515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN D VERNON DPT, CSCS

Provider Business Mailing Address
First Line	:	7373 S ALTON WAY STE 120
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-2333
Country	:	US
Telephone Number	:	303-867-2080
Fax Number	:	303-867-2082

Provider Business Practice Location Address
First Line	:	7373 S ALTON WAY STE 120
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-2333
Country	:	US
Telephone Number	:	303-867-2080
Fax Number	:	303-867-2082

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	05/12/2026

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