Banks, Kevin Mason

Banks, Kevin Mason is an sole proprietor health care provider with primary practice located at 1813 Brumley Rd , Chuluota FL 32766-9018. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Banks, Kevin Mason can be contacted via phone (407) 416-3223.

Contact Information

Primary practice address
1813 Brumley Rd Chuluota FL 32766-9018
Phone: (407) 416-3223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 51521 Florida

Profile Details

NPI number 1093226961
LBN Legal business name Banks, Kevin Mason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2017
Last updated Oct 19th, 2017 - about 8 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 1093226961 NPPES
Florida MEDICAID 693226600

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