Cummings, Kevin Derrick

Cummings, Kevin Derrick is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Cummings, Kevin Derrick can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343
Phone: (818) 892-3423
Fax: (818) 893-4509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1972094894
LBN Legal business name Cummings, Kevin Derrick
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2018
Last updated May 25th, 2018 - about 7 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 1972094894 NPPES
California Other 95-2633765 MEDI-CAL

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