Individual
KEVIN LAVERNE MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
75 PRINTERS PKWY STE 200, COLORADO SPRINGS, CO 80910-3142
(402) 559-4015
(402) 559-8210
Mailing address
75 PRINTERS PKWY STE 200, COLORADO SPRINGS, CO 80910-3142
(719) 300-8432
(719) 284-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004657
CO
Other
Enumeration date
08/31/2005
Last updated
03/08/2023
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