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Individual
RICHARD BRYANT KOKINDA
Active
Individual
RICHARD BRYANT KOKINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005940L
PA
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01863702
CAPITAL BLUE CROSS
—
01
—
11228153
CAQH
—
01
—
225864
HEALTH ASSURANCE
—
01
—
27991000
INDEPENDENCE BLUE CROSS
—
01
—
2841916
AETNA HMO
—
01
—
481407
HIGHMARK BLUE SHIELD
—
01
—
65002322
RAILROAD MEDICARE
—
01
—
7945348
AETNA PPO
—
01
—
814769
FIRST PRIORITY HEALTH
—
01
—
989050
KEYSTONE
—
Enumeration date
09/30/2005
Last updated
07/19/2007
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