Individual
MR. KEVIN BIRD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
Mailing address
783 N 976TH RD, LAWRENCE, KS 66047-9404
(785) 748-0754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01978
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140149
BCBSKS
KS
01
—
29375011
BCBSKC
KS
Enumeration date
06/14/2006
Last updated
07/08/2007
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