Breckenridge, Kevin Lee

Breckenridge, Kevin Lee is an individual health care provider with primary practice located at 620 Thompson Ave , West Memphis AR 72301-3257. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Breckenridge, Kevin Lee can be contacted via phone (870) 702-4911.

Contact Information

Primary practice address
620 Thompson Ave West Memphis AR 72301-3257
Phone: (870) 702-4911
Fax: (870) 702-6386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2260 Arkansas

Profile Details

NPI number 1457658213
LBN Legal business name Breckenridge, Kevin Lee
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2011
Last updated Feb 14th, 2011 - about 15 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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