Cardwell, Kevin W

Cardwell, Kevin W is an individual health care provider with primary practice located at 1125 Se Washington St , Pullman WA 99164-2484. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cardwell, Kevin W can be contacted via phone (509) 335-3575.

Contact Information

Primary practice address
1125 Se Washington St Pullman WA 99164-2484
Phone: (509) 335-3575
Fax: (509) 335-6223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10005304 Washington

Profile Details

NPI number 1588852503
LBN Legal business name Cardwell, Kevin W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Sep 5th, 2019 - about 6 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 1588852503 NPPES
Washington MEDICAID 1057194

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