Kenneth Joseph Corcoran in Charlotte - Sports
Kenneth Joseph Corcoran - NPI 1508075334
Kenneth Joseph Corcoran is a Sports in Charlotte, North Carolina. Kenneth Joseph Corcoran practices all healthcare services and medical treatments related to Sports. The NPI Number for Kenneth Joseph Corcoran is 1508075334. The last update date is 2018-09-20.
Kenneth Joseph Corcoran's current location address is Po Box 12512, Charlotte, North Carolina. You can contact this provider via phone number 7168304866. The mailing address for Kenneth Joseph Corcoran is Po Box 12512, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Joseph Corcoran |
|---|---|
| Address | Po Box 12512, Charlotte, North Carolina |
| Phone Number | 7168304866 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, DPT, S |
NPI Number Detail
| NPI Number | 1508075334 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2018-09-20 |
Provider Mailing Address Detail
| Address | Po Box 12512 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282202512 |
| Phone Number | 7168304866 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 029027-1 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40QA01368400 | NJ | LICENSE NUMBER | |
| 029027-1 | NY | LICENSE NUMBER | |
| 18323 | NC | LICENSE NUMBER |
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What is the unique 10-digit identification code issued to Kenneth Joseph Corcoran by the Centers for Medicare & Medicaid Services?
The Kenneth Joseph Corcoran has been assigned the NPI (National Provider Identifier) 1508075334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kenneth Joseph Corcoran's facilities are situated?
The facilities of Kenneth Joseph Corcoran are physically located at the following address: Po Box 12512, Charlotte, NC, 282202512.
What is the Kenneth Joseph Corcoran's area of specialization and corresponding taxonomy classification?
The Kenneth Joseph Corcoran's specialty field is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their specialties.
On what date was the 1508075334 assigned to Kenneth Joseph Corcoran?
The Kenneth Joseph Corcoran was issued its 1508075334 on 2007-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenneth Joseph Corcoran last refreshed?
The information related to the Kenneth Joseph Corcoran, including its address, specialty, and other relevant details, was last updated on 2018-09-20.