Individual
MR. KEVIN PAUL RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6826 ACUFF ST, SHAWNEE, KS 66216-2107
(913) 268-4007
(913) 993-9149
Mailing address
6826 ACUFF ST, SHAWNEE, KS 66216-2107
(913) 268-4007
(913) 993-9149
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11-02212
KS
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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