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Individual

KEVIN PATRICK MINCHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2235 E FLAMINGO RD STE 170, LAS VEGAS, NV 89119-5186
(702) 893-3333
(702) 893-0960
Mailing address
PO BOX 777851, HENDERSON, NV 89077-7851
(702) 893-3333
(702) 893-0960

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3612
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1702161
NV
Enumeration date
12/14/2017
Last updated
03/17/2018
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