Wildes, Kevin F

Wildes, Kevin F is an sole proprietor health care provider with primary practice located at 133 Rosebury Dr , Canton GA 30115-7558. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wildes, Kevin F can be contacted via phone (770) 704-6307.

Contact Information

Primary practice address
133 Rosebury Dr Canton GA 30115-7558
Phone: (770) 704-6307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1633 Georgia

Profile Details

NPI number 1912241357
LBN Legal business name Wildes, Kevin F
Credentials LPTA,CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2012
Last updated Nov 26th, 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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