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KENNETH GAVIN C.O. M.ED NPI 1801287859


NPI Information

NPI: 1801287859
Provider Name: KENNETH GAVIN, C.O., M.ED
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
3030 N CIRCLE DR
STE. 110
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 776-4840
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Kenneth Gavin, C.O., M.ED is an orthotist in Colorado Springs, CO. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Kenneth Gavin, C.O., M.ED NPI is 1801287859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3030 N CIRCLE DR
STE. 110
COLORADO SPRINGS, CO
ZIP 80909-177
Phone: (719) 776-4840
Fax: (719) 776-4845

The enumeration date for this NPI number is 2/12/2015 and was last updated on 12/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1840405257OTHERCOLORADOTIN 840405257

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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