Dover, Kevin Glenn
Dover, Kevin Glenn is an sole proprietor health care provider with primary practice located at 1331 North Elm Street Suite 200, Greensboro NC 27401-6304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dover, Kevin Glenn can be contacted via phone (336) 274-9617.Contact Information
Primary practice address
1331 North Elm Street Suite 200
Greensboro NC 27401-6304
Phone: (336) 274-9617
Fax: (336) 482-2177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 97-01324 | North Carolina |
Profile Details
| NPI number | 1457342701 |
|---|---|
| LBN Legal business name | Dover, Kevin Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Mar 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457342701 | NPPES |
| North Carolina | Other | 1123G | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 1457342701 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 1600165 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 25040 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 300123093 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 891123G | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | A8187 | BLUE CROSS BLUE SHIELD |
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