Clay, Kevin Michael

Clay, Kevin Michael is an individual health care provider with primary practice located at 5881 W 16Th St Suite D, Greeley CO 80634-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Clay, Kevin Michael can be contacted via phone (970) 353-1551.

Contact Information

Primary practice address
5881 W 16Th St Suite D Greeley CO 80634-2910
Fax: (970) 350-2478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0052587 Colorado

Profile Details

NPI number 1467604637
LBN Legal business name Clay, Kevin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2008
Last updated Mar 13th, 2016 - about 8 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 1467604637 NPPES
Wyoming MEDICAID 1467604637
Wyoming MEDICAID 76589340

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