Individual
KEVIN MICHAEL SWENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
443 DANIELS ST, RALEIGH, NC 27605-1359
(919) 833-4848
(919) 833-4648
Mailing address
1411 SACHEM PL UNIT 3, CHARLOTTESVILLE, VA 22901-2556
(434) 975-5434
(434) 975-0081
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPED2264
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS, INC.
DE
Enumeration date
05/15/2008
Last updated
05/27/2008
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