Eggleston, Kevin L
Eggleston, Kevin L is an sole proprietor health care provider with primary practice located at 4619 Kanawha Ave., Sw , South Charleston WV 25309. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Eggleston, Kevin L can be contacted via phone (304) 400-4545.Contact Information
Primary practice address
4619 Kanawha Ave., Sw
South Charleston WV 25309
Phone: (304) 400-4545
Fax: (304) 400-4546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 21056 | West Virginia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 21056 | West Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 21056 | West Virginia |
Profile Details
| NPI number | 1720200744 |
|---|---|
| LBN Legal business name | Eggleston, Kevin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Mar 16th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720200744 | NPPES |
| North Carolina | MEDICAID | 7617007 | |
| North Carolina | MEDICAID | 3810009299 |
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