Kevin C Boring MPT

NPI 1174637805 - Specialist - 174400000X

NPI Details
NPI 1174637805
Gender Male
Enumeration Date 08/19/2006
Last Updated 09/29/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
155 RESTON PLACE
GASSAWAY WV, 26624, US
Phone (304) 364-9191
Fax (304) 364-9193
Business Location
155 RESTON PLACE
GASSAWAY WV, 26624, US
Phone (304) 364-9191
Fax (304) 364-1137
Toxanomy
Taxonomy Code 174400000X
License State West Virginia
License Number 001248
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According to our database, Mr. Kevin C Boring MPT NPI is 1174637805, taxonomy code is 174400000X and license number is 001248, license state is located at West Virginia. Kevin C Boring MPT physically located at 155 Reston Place, Gassaway WV, 26624. NPI Number Kevin C Boring MPT has the Individual type.

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1174637805 NPI number is provided on an as is basis without warranty of any kind. 1174637805 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin C Boring MPT are for informational purposes only.