Individual
MR. KEVIN P LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
274 UNION BLVD STE 100, LAKEWOOD, CO 80228-1836
(303) 232-9391
Mailing address
274 UNION BLVD STE 100, LAKEWOOD, CO 80228-1836
(303) 232-9391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4771
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066615
MEDICARE GROUP #
CO
05
—
25272578
—
CO
01
—
86723251
MEDICAID GROUP PRACTICE #
CO
Enumeration date
10/14/2005
Last updated
10/26/2022
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