Individual
KEVIN LEE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8338 HIGHWAY 65 NE STE E, SPRING LAKE PARK, MN 55432-1365
(763) 755-9500
(763) 755-9510
Mailing address
8338 HIGHWAY 65 NE STE E, SPRING LAKE PARK, MN 55432-1365
(763) 755-9500
(763) 755-9510
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1001
MN
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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