Boudinot, Kevin
Boudinot, Kevin is an sole proprietor health care provider with primary practice located at Corner Of Routes N12 & N7 , Fort Defiance AZ 86504. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care, which is considered as his primary health care specialty. Boudinot, Kevin can be contacted via phone (928) 729-8000.Contact Information
Primary practice address
Corner Of Routes N12 & N7
Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care | 2279C0205X | 044405 | Arizona |
Profile Details
NPI number | 1003549304 |
---|---|
LBN Legal business name | Boudinot, Kevin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2022 |
Last updated | Jul 5th, 2022 - about 2 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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