Muncey, Kevin R

Muncey, Kevin R is an sole proprietor health care provider with primary practice located at 564 W 700 S Ste 203 , Pleasant Grove UT 84062-3785. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Muncey, Kevin R can be contacted via phone (208) 691-7738.

Contact Information

Primary practice address
564 W 700 S Ste 203 Pleasant Grove UT 84062-3785
Phone: (208) 691-7738
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9876846-2401 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9876846-8016 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 9876846-4810 Utah

Profile Details

NPI number 1518480870
LBN Legal business name Muncey, Kevin R
Credentials PT, DPT, ATC, SCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Aug 16th, 2022 - about 4 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 1518480870 NPPES
Oregon MEDICAID 500764000

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