Allison, Kevin Garrett

Allison, Kevin Garrett is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Allison, Kevin Garrett can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
13330 Usf Laurel Dr Tampa FL 33612-6601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112213 Florida

Profile Details

NPI number 1477116952
LBN Legal business name Allison, Kevin Garrett
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Feb 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477116952 NPPES
Florida Other N2T30 BLUE CROSS BLUE SHIELD
Florida MEDICAID 103408800 BLUE CROSS BLUE SHIELD

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