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Individual
MR. KEVIN PAUL DORIS
Active
Individual
MR. KEVIN PAUL DORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222535
AMERIGROUP
FL
01
—
2906996
CIGNA
FL
01
—
3041824
AETNA HMO
FL
01
—
522344261
HUMANA
FL
01
—
7822407
AETNA PPO
FL
01
—
Y0571
BCBS
FL
Enumeration date
06/27/2006
Last updated
07/21/2008
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