Individual
KEVIN ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2492 WALNUT AVE, 110, TUSTIN, CA 92780-6953
(714) 669-1997
(714) 573-7424
Mailing address
2492 WALNUT AVE, 110, TUSTIN, CA 92780-6953
(714) 669-1997
(714) 573-7424
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT29972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29972
LICENSE
CA
Enumeration date
04/03/2007
Last updated
07/08/2007
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