Chen, Kevin C

Chen, Kevin C is an individual health care provider with primary practice located at 3405 Office Park Dr , Marion IL 62959-6478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chen, Kevin C can be contacted via phone (618) 997-8412.

Contact Information

Primary practice address
3405 Office Park Dr Marion IL 62959-6478
Phone: (618) 997-8412
Fax: (618) 997-3726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36108368 Minnesota

Profile Details

NPI number 1740291780
LBN Legal business name Chen, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 26th, 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 1740291780 NPPES
Illinois Other 104897 HEALTH ALLIANCE
Illinois Other 01635188 HEALTH ALLIANCE
Illinois MEDICAID 036108368 HEALTH ALLIANCE

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