Individual
KEVIN D BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 TREVOR CT, ROCKY POINT, NC 28457-9562
(224) 234-7977
Mailing address
14 TREVOR CT, ROCKY POINT, NC 28457-9562
(224) 234-7977
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
NC
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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