NPI 1508320722

Kevin Andrew Symms, COBOCPO

Practitioner Prosthetist Excelsior, MN

Practice location

Address: 26150 Oak Leaf Trl, Excelsior, MN 55331-8479
Phone: (951) 237-8489

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1508320722
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2019
Record last updated: 23 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.