Gaw, Brian Kimkyone

Gaw, Brian Kimkyone is an sole proprietor health care provider with primary practice located at 1669 W Avenue J Suite 304, Lancaster CA 93534-2866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gaw, Brian Kimkyone can be contacted via phone (661) 951-7888.

Contact Information

Primary practice address
1669 W Avenue J Suite 304 Lancaster CA 93534-2866
Phone: (661) 951-7888
Fax: (661) 951-8889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28727 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A49005 California

Profile Details

NPI number 1457354391
LBN Legal business name Gaw, Brian Kimkyone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jan 6th, 2011 - about 13 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 1457354391 NPPES
California MEDICAID 00A490050
California MEDICAID 64287279

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