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Individual
KEVIN SCOTT BRITTAIN
Active
Individual
KEVIN SCOTT BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 42781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
TYPE2 NPI
CA
01
—
ZZZ29361Z
MEDICARE GROUP PTAN
CA
Enumeration date
08/17/2015
Last updated
05/07/2024
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