Boring, Kevin C
Boring, Kevin C is an sole proprietor health care provider with primary practice located at 155 Reston Place , Gassaway WV 26624. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boring, Kevin C can be contacted via phone (304) 364-9191.Contact Information
Primary practice address
155 Reston Place
Gassaway WV 26624
Phone: (304) 364-9191
Fax: (304) 364-9193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 001248 | West Virginia |
Profile Details
| NPI number | 1174637805 |
|---|---|
| LBN Legal business name | Boring, Kevin C |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Sep 29th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174637805 | NPPES |
| West Virginia | MEDICAID | 0157029000 |
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