Frazer, Kevin Gregory

Frazer, Kevin Gregory is an sole proprietor health care provider with primary practice located at 1300 Miccosukee Rd Bixler Emergency Center, Tallahassee FL 32308-5054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Frazer, Kevin Gregory can be contacted via phone (850) 431-0756.

Contact Information

Primary practice address
1300 Miccosukee Rd Bixler Emergency Center Tallahassee FL 32308-5054
Phone: (850) 431-0756
Fax: (850) 431-0779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME93591 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L9199 Texas

Profile Details

NPI number 1942266606
LBN Legal business name Frazer, Kevin Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Dec 6th, 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 1942266606 NPPES
Florida MEDICAID 273058800

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