Stanforth, Kevin Charles

Stanforth, Kevin Charles is an sole proprietor health care provider with primary practice located at 374 12Th St , Idaho Falls ID 83404-5369. 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. Stanforth, Kevin Charles can be contacted via phone (208) 201-0432.

Contact Information

Primary practice address
374 12Th St Idaho Falls ID 83404-5369
Phone: (208) 201-0432
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1846 Idaho

Profile Details

NPI number 1760677306
LBN Legal business name Stanforth, Kevin Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2007
Last updated Sep 6th, 2007 - about 17 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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