Search › Georgia › 225100000X
Kevin Van, DPT
NPI 1770450124 · on the registry since 2025
Practice
- Address
- 875 Mansell Rd Ste H
Roswell, GA 30076 - Phone
- (678) 821-2170
- Organisation at this address
- Southeast Rehabilitation Group Inc
Audiological Consultants Of Atlanta, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- VA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia