Carr, Kevin G

Carr, Kevin G is an individual health care provider with primary practice located at 1450 Eastside Rd Ste 110, Platteville WI 53818-9800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carr, Kevin G can be contacted via phone (608) 348-4330.

Contact Information

Primary practice address
1450 Eastside Rd Ste 110 Platteville WI 53818-9800
Fax: (608) 342-4810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28636-020 Wisconsin

Profile Details

NPI number 1467417964
LBN Legal business name Carr, Kevin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Nov 13th, 2020 - about 4 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 1467417964 NPPES
Wisconsin MEDICAID 31468800
Wisconsin Other 1000595
Wisconsin MEDICAID 0592402

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