Provider Demographics
NPI:1962294223
Name:FIGUEROA, KEVIN A
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:A
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2442 SHELBY CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-4442
Mailing Address - Country:US
Mailing Address - Phone:689-241-7064
Mailing Address - Fax:689-241-7064
Practice Address - Street 1:2442 SHELBY CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-4442
Practice Address - Country:US
Practice Address - Phone:689-241-7064
Practice Address - Fax:689-241-7064
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist