Creighton, Kevan M

Creighton, Kevan M is an individual health care provider with primary practice located at 7201 120Th Ave , Kenosha WI 53142-7305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Creighton, Kevan M can be contacted via phone (262) 857-4400.

Contact Information

Primary practice address
7201 120Th Ave Kenosha WI 53142-7305
Fax:
Website:

Health care specialties

Profile Details

NPI number 1487973095
LBN Legal business name Creighton, Kevan M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2010
Last updated May 21st, 2010 - about 15 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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