Most Relevant Information
Provider Data
| NPI Number: | 1003814773 |
| Provider Name: | KEVIN J. WYMAN D. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 02159-PT |
Most Important Dates
| Enumeration Date: | 07/07/2005 |
| Last Updated: | 05/13/2009 |
Provider Practice Location
10076 DARNESTOWN RD
SUITE 200
ROCKVILLE
MD
208503363
Practice Location Phone/Fax
| Phone: | 3012082225 |
| Fax: | 3012945103 |
Provider Mailing Location
10076 DARNESTOWN RD
SUITE 200
ROCKVILLE
MD
208503363
Provider Mailing Phone/Fax
| Phone: | 3012082225 |
| Fax: | 3012945103 |