Individual
MR. KEVIN CHARLES MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
12315 JUDSON RD, #206, LIVE OAK, TX 78233-3277
(210) 657-8100
(210) 657-8105
Mailing address
12315 JUDSON RD, #206, LIVE OAK, TX 78233-3277
(210) 657-8100
(210) 657-8105
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
558
TX
Other
Enumeration date
11/14/2006
Last updated
12/31/2007
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