Individual
MR. KEVIN JAMES EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.T.
Contact information
Practice address
149 MAPLE TREE LN, CARPENTERSVILLE, IL 60110-1455
(303) 229-8113
Mailing address
149 MAPLE TREE LN, CARPENTERSVILLE, IL 60110-1455
(303) 229-8113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227008088
IL
174400000X
Specialist
MT.0009248
CO
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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