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Individual

KEVIN VIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
6400 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-4579
(804) 789-8829
Mailing address
6400 MECHANICSVILLE TPKE STE A, MECHANICSVILLE, VA 23111-4579
(804) 789-8290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2072
ND
225100000X
Physical Therapist
Primary
2305210535
VA

Other

Enumeration date
03/13/2017
Last updated
03/29/2022
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