NPI 1801287859

Kenneth Gavin, COMED

Practitioner Orthotist Colorado Springs, CO

Practice location

Address: 3030 N Circle Dr STE. 110, Colorado Springs, CO 80909-1177
Phone: (719) 776-4840
Fax: (719) 776-4845

Registered specialties

Orthotist Primary

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

Other Orthotist providers in Colorado →

Registry record

NPI: 1801287859
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2015
Record last updated: 15 Dec 2016

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.