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Kevin Gorman

Student in an Organized Health Care Education/Training Program in Lakewood, CO. Individual provider (NPI-1).

NPI number1669936688
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1669936688
Entity type
Individual (NPI-1)
Name
Kevin Gorman
Sex
Male
Sole proprietor
No
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

390 Union Blvd Ste 300
Lakewood, CO 80228-6514

Phone 303-989-8172 · Fax 303-984-4366

Mailing address

390 Union Blvd Ste 300
Lakewood, CO 80228-6514

Phone 303-989-8172 · Fax 303-984-4366

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Other Student in an Organized Health Care Education/Training Program providers in Lakewood, CO

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