Jennings, Kevin

Jennings, Kevin is an individual health care provider with primary practice located at 420 S Jackson St , Pottsville PA 17901-3625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jennings, Kevin can be contacted via phone (570) 621-5000.

Contact Information

Primary practice address
420 S Jackson St Pottsville PA 17901-3625
Phone: (570) 621-5000
Fax: (570) 621-5589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA001406L Pennsylvania

Profile Details

NPI number 1407146889
LBN Legal business name Jennings, Kevin
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Apr 19th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407146889 NPPES
Pennsylvania Other MA001406L PA LICENSE NUMBER

Popular Providers