Provider Demographics
NPI:1922597368
Name:WESTBROOK, KEVIN (RCP RRT)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:WESTBROOK
Suffix:
Gender:M
Credentials:RCP RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 ABINGTON CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-0069
Mailing Address - Country:US
Mailing Address - Phone:252-361-5016
Mailing Address - Fax:
Practice Address - Street 1:513 ABINGTON COURT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:252-361-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0117008466227900000X
NC6215227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered