Individual
KEVIN CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035587
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0322211
—
MA
01
—
043171699
CIGNA
MA
01
—
704317
CONNECTICARE
MA
01
—
Y68191
BLUECROSS/BLUESHIELD
MA
Enumeration date
10/26/2005
Last updated
04/09/2009
Update your record
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