Kenneth Gavin, C.O., M.ED

NPI #1801287859 in Colorado Springs, Colorado

Provider Information

NPI Number: 1801287859
Entity Type: Individual
Name: Kenneth Gavin, C.O., M.ED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: C.O., M.ED
Enumeration Date: Feb 12, 2015
Last Updated: Dec 15, 2016

Practice Location

Address: 3030 N CIRCLE DR
Address 2: STE. 110
City: Colorado Springs
State: Colorado
ZIP Code: 80909-1177
Phone: (719) 776-4840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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