Bean, Kenneth Alan

Bean, Kenneth Alan is an individual health care provider with primary practice located at 351 Sw 9Th St , Ontario OR 97914-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Bean, Kenneth Alan can be contacted via phone (541) 881-7001.

Contact Information

Primary practice address
351 Sw 9Th St Ontario OR 97914-2639
Phone: (541) 881-7001
Fax: (541) 881-7186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 61333271205 Utah
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD40242 Oregon

Profile Details

NPI number 1346274115
LBN Legal business name Bean, Kenneth Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 17th, 2009 - about 15 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 1346274115 NPPES
Idaho MEDICAID 807461000

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