Gracie, Kevin William

Gracie, Kevin William is an sole proprietor health care provider with primary practice located at 403 Monroe Pl , Hopkins MN 55343-8360. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gracie, Kevin William can be contacted via phone (612) 802-8584.

Contact Information

Primary practice address
403 Monroe Pl Hopkins MN 55343-8360
Phone: (612) 802-8584
Fax: (952) 935-4750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1073782751
LBN Legal business name Gracie, Kevin William
Credentials CST/CFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2008
Last updated Feb 26th, 2008 - about 18 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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