Dewalt, Kevin Christopher

Dewalt, Kevin Christopher is an sole proprietor health care provider with primary practice located at 108 Granada Dr , Mountain View CA 94043-4556. He recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as his primary health care specialty. Dewalt, Kevin Christopher can be contacted via phone (650) 796-2113.

Contact Information

Primary practice address
108 Granada Dr Mountain View CA 94043-4556
Phone: (650) 796-2113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X A92755 California

Profile Details

NPI number 1790976637
LBN Legal business name Dewalt, Kevin Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 18 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.

Request for update

Popular Providers