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Individual

DR. KEVIN ALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AP

Contact information

Practice address
2180 A1A S STE 104, ST AUGUSTINE, FL 32080-6523
(904) 824-9439
Mailing address
6 PALM ROW, ST AUGUSTINE, FL 32084-4409
(904) 824-9439

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00284
FL

Other

Enumeration date
11/03/2009
Last updated
11/03/2009
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