Fair, Kent Alan

Fair, Kent Alan is an sole proprietor health care provider with primary practice located at 1011 Wilshire Dr , Mount Vernon IL 62864-2743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fair, Kent Alan can be contacted via phone (618) 242-4150.

Contact Information

Primary practice address
1011 Wilshire Dr Mount Vernon IL 62864-2743
Phone: (618) 242-4150
Fax: (618) 244-1696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1952321879
LBN Legal business name Fair, Kent Alan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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