National Provider Identifier
Kenneth Joseph Micon, PT
Kenneth Joseph Micon, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Niagara Falls, NY and a listed phone number of (716) 731-2195.
Profile Overview
- NPI
- 1932192861
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 25, 2005
- Last Updated
- July 08, 2007
Practice Location
- 2111 Sawyer Dr
- Niagara Falls, NY 14304-2975
Phone: (716) 731-2195
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1932192861
- Entity Type
- Individual
- Last Name
- Micon
- First Name
- Kenneth
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Credential
- PT
- Mailing Street Address
- 2111 Sawyer Dr
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-2975
- Mailing Country
- US
- Mailing Phone
- (716) 731-2195
- Mailing Fax
- (716) 731-4862
- Practice Street Address
- 2111 Sawyer Dr
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-2975
- Practice Country
- US
- Practice Phone
- (716) 731-2195
- Practice Fax
- (716) 731-4862
- Enumeration Date
- August 25, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)