Dorsey-Tyler, Kevin Richard

Dorsey-Tyler, Kevin Richard is an sole proprietor health care provider with primary practice located at 2 Governors Ln Suite A, Chico CA 95926-1988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Dorsey-Tyler, Kevin Richard can be contacted via phone (530) 891-4523.

Contact Information

Primary practice address
2 Governors Ln Suite A Chico CA 95926-1988
Phone: (530) 891-4523
Fax: (530) 891-5934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C50630 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X C50630 California

Profile Details

NPI number 1366541849
LBN Legal business name Dorsey-Tyler, Kevin Richard
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Sep 10th, 2011 - about 13 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 1366541849 NPPES
California MEDICAID 00C506300

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