Sanders, Kevin Scott

Sanders, Kevin Scott is an individual health care provider with primary practice located at 113 E College Blvd , Roswell NM 88201-5158. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sanders, Kevin Scott can be contacted via phone (575) 622-6500.

Contact Information

Primary practice address
113 E College Blvd Roswell NM 88201-5158
Phone: (575) 622-6500
Fax: (575) 622-9777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3331 New Mexico

Profile Details

NPI number 1558460071
LBN Legal business name Sanders, Kevin Scott
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558460071 NPPES
New Mexico MEDICAID 44934734

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