Forsythe, Kevin C

Forsythe, Kevin C is an sole proprietor health care provider with primary practice located at 1111 Las Tablas Road Suite R , Templeton CA 93465-3742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Forsythe, Kevin C can be contacted via phone (805) 286-4416.

Contact Information

Primary practice address
1111 Las Tablas Road Suite R Templeton CA 93465-3742
Phone: (805) 286-4416
Fax: (888) 216-9538
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A96098 California

Profile Details

NPI number 1346272812
LBN Legal business name Forsythe, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 21st, 2022 - about 3 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 1346272812 NPPES
California Other 11616353 CAQH PROVIDER NUMBER

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