Heaton, Kevin T

Heaton, Kevin T is an individual health care provider with primary practice located at 2200 Bryant Williams Drive Suite 1, Klamath Falls OR 97601-1120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Heaton, Kevin T can be contacted via phone (541) 884-7746.

Contact Information

Primary practice address
2200 Bryant Williams Drive Suite 1 Klamath Falls OR 97601-1120
Phone: (541) 884-7746
Fax: (541) 884-0848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DO22887 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X DO22887 Oregon

Profile Details

NPI number 1467474569
LBN Legal business name Heaton, Kevin T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 19th, 2024 - about 5 months 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 1467474569 NPPES
Oregon Other 200046213 RAILROAD MEDICARE
Oregon Other 4604977397601 RAILROAD MEDICARE
Oregon Other 831170000 RAILROAD MEDICARE
Oregon Other XPY195175 RAILROAD MEDICARE
Oregon MEDICAID 287483 RAILROAD MEDICARE

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