Individual
KEVIN FRANCIS KIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
419 NW 23RD AVE, SUITE 101, PORTLAND, OR 97210-3470
(808) 280-0882
Mailing address
419 NW 23RD AVE, SUITE 101, PORTLAND, OR 97210-3470
(808) 280-0882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18145
OR
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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