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Individual

KEVIN WYNVEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
250 TRAVELODGE DR, EL CAJON, CA 92020-4126
(619) 441-3006
(619) 441-3154
Mailing address
7295 BIRCHCREEK RD, SAN DIEGO, CA 92119-1627

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11755
CA

Other

Enumeration date
06/20/2007
Last updated
11/29/2021
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