Provider Demographics
NPI:1598846131
Name:KEVERN, APRIL BRILLANTE (PT)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:BRILLANTE
Last Name:KEVERN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 STONE HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-6600
Mailing Address - Country:US
Mailing Address - Phone:704-575-7405
Mailing Address - Fax:
Practice Address - Street 1:2170 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-5704
Practice Address - Country:US
Practice Address - Phone:704-575-7405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10636225100000X
AK2259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK2259OtherPT LICENSE
AK2259OtherPT LICENSE