Provider Demographics
NPI:1811927668
Name:ROBELL, KEVIN C (MA ATC EMT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:C
Last Name:ROBELL
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Gender:M
Credentials:MA ATC EMT
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Mailing Address - Street 1:185 CALLE NOGALES
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2157
Mailing Address - Country:US
Mailing Address - Phone:925-878-1532
Mailing Address - Fax:925-631-8123
Practice Address - Street 1:1928 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556-2715
Practice Address - Country:US
Practice Address - Phone:925-631-4398
Practice Address - Fax:925-631-8123
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer