Provider Demographics
NPI:1386817716
Name:BIAS, KEVIN E (PT,MS,MED)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:E
Last Name:BIAS
Suffix:
Gender:M
Credentials:PT,MS,MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-3801
Mailing Address - Country:US
Mailing Address - Phone:870-234-2255
Mailing Address - Fax:870-234-2274
Practice Address - Street 1:1515 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-3801
Practice Address - Country:US
Practice Address - Phone:870-234-2255
Practice Address - Fax:870-234-2274
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1888225100000X
TX1155762225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty