Kevin Michael Treadwell
Kevin Michael Treadwell is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
200 Mullins DrLebanon, OR 97355-3983
Phone: (909) 469-5589
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1679466338 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 2, 2025 |
| Last updated in NPPES | June 5, 2025 |
| Certification date | June 5, 2025 |
| Mailing address | 200 Mullins Dr, Lebanon, OR 97355-3983 |
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