Kevin Bouldin
Kevin Bouldin is a Rehabilitation Practitioner in Corona, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2275 S Main St Ste 201Corona, CA 92882-5303
Phone: (951) 279-3222
Fax: (951) 279-5222
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1497521488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 30, 2023 |
| Last updated in NPPES | April 23, 2026 |
| Certification date | April 23, 2026 |
| Mailing address | 2275 S Main St Ste 201, Corona, CA 92882-5303 |
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