Bush, Kevin K

Bush, Kevin K is an individual health care provider with primary practice located at 2709 Meredyth Dr Suite 340, Albany GA 31707-0222. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bush, Kevin K can be contacted via phone (229) 883-1130.

Contact Information

Primary practice address
2709 Meredyth Dr Suite 340 Albany GA 31707-0222
Phone: (229) 883-1130
Fax: (229) 883-1153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002887 Georgia

Profile Details

NPI number 1114913332
LBN Legal business name Bush, Kevin K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 14th, 2015 - about 9 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 1114913332 NPPES
Georgia MEDICAID 100002128A

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