Individual
MR. KELVIN MANURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0735000416
VA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/05/2022
Last updated
04/29/2022
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