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Kevin Lee Hines
Prosthetic/Orthotic Supplier in Spring Lake Park, Minnesota
NPI 1255061107

Kevin Lee Hines is a Prosthetic/Orthotic Supplier based in Spring Lake Park, MN. Kevin Lee Hines practices in Spring Lake Park, MN. The NPI Number for Kevin Lee Hines is 1255061107 and holds a License No. 1001 (Minnesota).

The current practice location address for Kevin Lee Hines is 8338 Highway 65 Ne Ste E, Spring Lake Park, MN and can be reached out via phone at 763-755-9500 and via fax at 763-755-9510.

Location: 8338 Highway 65 Ne Ste E, Spring Lake Park, MN, 55432-1365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255061107
Provider Name
Kevin Lee Hines
Credential
Provider Entity Type
Individual
Gender
Male
Address
8338 Highway 65 Ne Ste E, Spring Lake Park, MN, 55432-1365
Phone Number
763-755-9500
Fax Number
763-755-9510
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8338 Highway 65 Ne Ste E
City
Spring Lake Park
State
Minnesota
Zip
55432-1365
Phone Number
763-755-9500
Fax Number
763-755-9510
person
Provider Business Mailing Address Details
Address
8338 Highway 65 Ne Ste E
City
Spring Lake Park
State
Minnesota
Zip
55432-1365
Phone Number
763-755-9500
Fax Number
763-755-9510
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1001 (Minnesota)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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