Percuoco, Kevin Thomas
Percuoco, Kevin Thomas is an individual health care provider with primary practice located at 17330 Bear Valley Rd Ste 105 , Victorville CA 92395-7741. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Percuoco, Kevin Thomas can be contacted via phone (760) 245-8182.Contact Information
Primary practice address
17330 Bear Valley Rd Ste 105
Victorville CA 92395-7741
Phone: (760) 245-8182
Fax: (760) 245-2123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 33702 | California |
| Chiropractic Providers / Sports Physician | 111NS0005X | 081984 | Iowa |
Profile Details
| NPI number | 1821585357 |
|---|---|
| LBN Legal business name | Percuoco, Kevin Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Mar 26th, 2020 - about 6 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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