Bingham, Kevin Blaine

Bingham, Kevin Blaine is an sole proprietor health care provider with primary practice located at 390 Se Church St , Sublimity OR 97385-9714. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bingham, Kevin Blaine can be contacted via phone (801) 550-5329.

Contact Information

Primary practice address
390 Se Church St Sublimity OR 97385-9714
Phone: (801) 550-5329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8177960-2402 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 09469 Oregon

Profile Details

NPI number 1679078331
LBN Legal business name Bingham, Kevin Blaine
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 7 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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