Individual
KEVIN JEFFREY VAN VLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3121 W KENNEWICK AVE, KENNEWICK, WA 99336-2921
(509) 735-7433
(509) 735-6577
Mailing address
3121 W KENNEWICK AVE, KENNEWICK, WA 99336-2921
(509) 735-7433
(509) 735-6577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60660135
WA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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