Fitzpatrick, Kevin R

Fitzpatrick, Kevin R is an individual health care provider with primary practice located at 752 N High Point Rd , Madison WI 53717-2236. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fitzpatrick, Kevin R can be contacted via phone (608) 824-4000.

Contact Information

Primary practice address
752 N High Point Rd Madison WI 53717-2236
Phone: (608) 824-4000
Fax: (608) 824-4930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13230-24 Wisconsin

Profile Details

NPI number 1861730921
LBN Legal business name Fitzpatrick, Kevin R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Jan 23rd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861730921 NPPES
Wisconsin MEDICAID 1861730921

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