Individual
KEVIN KLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHP
Contact information
Practice address
4010 SORRENTO VALLEY BLVD, SUITE 300, SAN DIEGO, CA 92121-1432
(858) 678-0300
Mailing address
3639 MIDWAY DR, SUITE B307, SAN DIEGO, CA 92110-5254
(619) 994-6172
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36062
CA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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