Individual
KEVIN PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 SPRING HILL CIR, BEDFORD, VA 24523-5457
(540) 492-0698
Mailing address
311 SPRING HILL CIR, BEDFORD, VA 24523-5457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604306
VA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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