Individual
DR. KEVIN THOMAS PERCUOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17330 BEAR VALLEY RD STE 105, VICTORVILLE, CA 92395-7741
(760) 245-8182
(760) 245-2123
Mailing address
3200 INGERSOLL AVE STE E, DES MOINES, IA 50312-3917
(515) 620-3550
(515) 259-6383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33702
CA
111NS0005X
Sports Physician Chiropractor
Primary
081984
IA
Other
Enumeration date
04/19/2018
Last updated
03/26/2020
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