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Individual

KEVIN K. SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1115 ELKTON DR STE 300, COLORADO SPRINGS, CO 80907-3597
(719) 373-9703
(719) 631-7017
Mailing address
1115 ELKTON DR STE 300, COLORADO SPRINGS, CO 80907-3597
(719) 373-9703
(719) 631-7017

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41126
CO
2084P0802X
Addiction Psychiatry Physician
41126
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01887017
CO
Enumeration date
07/03/2006
Last updated
01/04/2018
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