Eggleston, Kevin L

Eggleston, Kevin L is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Eggleston, Kevin L can be contacted via phone (262) 434-4711.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-4711
Fax: (262) 434-4041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51420-20 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 51420 Wisconsin

Profile Details

NPI number 1003851825
LBN Legal business name Eggleston, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Oct 25th, 2022 - about 2 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 1003851825 NPPES
Wisconsin MEDICAID 100008169

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