Individual
MR. KEVIN DALE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2909 L DON DODSON DR APT 1531, BEDFORD, TX 76021-7955
(817) 716-9247
Mailing address
2909 L DON DODSON DR APT 1531, BEDFORD, TX 76021-7955
(817) 716-9247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1003295
TX
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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