Active NPIIndividual providerSole proprietor

Kevin Koob

Physical Therapist in Mercerville, New Jersey

NPI Number1417005190
Practice location
1245 Whitehorse Mercerville RD, Suite 422, Mercerville, NJ 08619-3831
Fax
609-581-1506
Last updated
July 8, 2007

Kevin Koob is a Physical Therapist based in Mercerville, NJ. Kevin Koob practices in Mercerville, NJ. The NPI Number for Kevin Koob is 1417005190 and holds a License No. 40QA00310500 (NJ). The current practice location address for Kevin Koob is 1245 Whitehorse Mercerville RD, Suite 422, Mercerville, NJ 08619-3831 and can be reached out via phone at 609-581-4700 and via fax at 609-581-1506.

Provider Profile Details

NPI Number
1417005190
Provider Name
Kevin Koob
Provider Entity Type
Individual
Gender
Male
Address
1245 Whitehorse Mercerville RD, Suite 422, Mercerville, NJ 08619-3831
Phone Number
609-581-4700
Fax Number
609-581-1506
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1245 Whitehorse Mercerville RD
Suite 422
Mercerville, NJ 08619-3831
Zip
08619-3831
Phone Number
609-581-4700
Fax Number
609-581-1506
Mercerville, NJ 08619Get directions →

Provider Business Mailing Address Details

Address
1245 Whitehorse Mercerville RD
Suite 422
Mercerville, NJ 08619-3831
City
Mercerville
State
NJ
Zip
08619-3831
Phone Number
609-581-4700
Fax Number
609-581-1506

License Information

License Number
40QA00310500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin Koob?

The NPI number of Kevin Koob is 1417005190. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Kevin Koob?

Kevin Koob is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00310500.

Where does Kevin Koob practice?

The practice location is 1245 Whitehorse Mercerville RD, Suite 422, Mercerville, NJ 08619-3831. The office can be reached at 609-581-4700 (phone) or 609-581-1506 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417005190 directly on the NPPES registry website.

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