Gaines, Kevin Don

Gaines, Kevin Don is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd , Gallup NM 87301-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gaines, Kevin Don can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E. Nizhoni Blvd Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 726-8740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21745 Oklahoma

Profile Details

NPI number 1740217793
LBN Legal business name Gaines, Kevin Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740217793 NPPES
New Mexico MEDICAID 09101071
New Mexico MEDICAID 758196

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