Individual
MR. KEVIN WILSON TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1750 ANSEL RD # 415, CLEVELAND, OH 44106-4103
(732) 882-2355
Mailing address
1750 ANSEL RD # 415, CLEVELAND, OH 44106-4103
(732) 882-2355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008014RX
OH
Other
Enumeration date
08/17/2021
Last updated
02/06/2023
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