Avilla, Kevin M
Avilla, Kevin M is an individual health care provider with primary practice located at 1180 Satellite Blvd Nw Suite 100, Suwanee GA 30024-4636. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Avilla, Kevin M can be contacted via phone (404) 367-2080.Contact Information
Primary practice address
1180 Satellite Blvd Nw Suite 100
Suwanee GA 30024-4636
Phone: (404) 367-2080
Fax: (770) 495-3493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1356 | Massachusetts |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 20091 | Massachusetts |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT010906 | Georgia |
Profile Details
| NPI number | 1538280698 |
|---|---|
| LBN Legal business name | Avilla, Kevin M |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Nov 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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