Individual
KENNETH GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O., M.ED
Contact information
Practice address
3030 N CIRCLE DR, STE. 110, COLORADO SPRINGS, CO 80909-1177
(719) 776-4840
(719) 776-4845
Mailing address
3030 N CIRCLE DR, STE. 110, COLORADO SPRINGS, CO 80909-1177
(719) 776-4840
(719) 776-4845
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
12/15/2016
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