Kevin Lee Hines
NPI #1255061107 in Spring Lake Park, Minnesota
Provider Information
- NPI Number
- 1255061107
- Entity Type
- Individual
- Name
- Kevin Lee Hines
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 14, 2022
- Last Updated
- Jun 14, 2022
Practice Location
- Address
- 8338 HIGHWAY 65 NE STE E
- City
- Spring Lake Park
- State
- Minnesota
- ZIP Code
- 55432-1365
- Phone
- (763) 755-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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