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Individual
MR. KEVIN RODEN
Active
Individual
MR. KEVIN RODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
072841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0903230
AETNA HMO
NY
01
—
5076437
AETNA PPO
NY
Enumeration date
02/22/2006
Last updated
01/05/2011
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