Callahan, Kevin C

Callahan, Kevin C is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Callahan, Kevin C can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R17494 North Dakota

Profile Details

NPI number 1336188218
LBN Legal business name Callahan, Kevin C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 11th, 2012 - about 12 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 1336188218 NPPES
North Dakota Other 50228CA MNBS #
North Dakota Other 967144 MNBS #
North Dakota Other DA9011015518 MNBS #
North Dakota Other 26286 MNBS #
North Dakota Other 142325 MNBS #
North Dakota Other HP38622 MNBS #
North Dakota Other 2000744 MNBS #
North Dakota MEDICAID 12659 MNBS #
North Dakota MEDICAID 817743100 MNBS #
North Dakota Other 2000743 MNBS #

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