Caserta, Kevin T.

Caserta, Kevin T. is an individual health care provider with primary practice located at 1800 Cooks Hill Rd Ste E , Centralia WA 98531-9162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Caserta, Kevin T. can be contacted via phone (360) 330-8626.

Contact Information

Primary practice address
1800 Cooks Hill Rd Ste E Centralia WA 98531-9162
Phone: (360) 330-8626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00042344 Washington

Profile Details

NPI number 1033209853
LBN Legal business name Caserta, Kevin T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 3rd, 2021 - 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 1033209853 NPPES
Washington MEDICAID 8141947

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