Individual
KEVIN BRADLEY CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8210
Mailing address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02794
KY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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