Hoffarth, Kevin Lee

Hoffarth, Kevin Lee is an individual health care provider with primary practice located at 200 Medical Pkwy Suite 310, Lakeway TX 78738-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hoffarth, Kevin Lee can be contacted via phone (512) 654-2100.

Contact Information

Primary practice address
200 Medical Pkwy Suite 310 Lakeway TX 78738-1782
Phone: (512) 654-2100
Fax: (512) 654-2110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A81044 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P3000 Texas

Profile Details

NPI number 1275530826
LBN Legal business name Hoffarth, Kevin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Oct 22nd, 2012 - 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 1275530826 NPPES
California MEDICAID 00A810440
California MEDICAID 100508905
California MEDICAID 100508675

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