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Individual
MR. KEVIN ALLEN ARD
Active
Individual
MR. KEVIN ALLEN ARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
625
SC
363A00000X
Physician Assistant
Primary
PA1568
SC
Other
Enumeration date
03/24/2006
Last updated
02/10/2023
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