Ketcherside, Kevin Lynn

Ketcherside, Kevin Lynn is an sole proprietor health care provider with primary practice located at 3697 S Martingale Rd , Gilbert AZ 85297-7436. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Ketcherside, Kevin Lynn can be contacted via phone (480) 285-4990.

Contact Information

Primary practice address
3697 S Martingale Rd Gilbert AZ 85297-7436
Phone: (480) 285-4990
Fax: (480) 659-4643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 130245 Arizona

Profile Details

NPI number 1285901652
LBN Legal business name Ketcherside, Kevin Lynn
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2011
Last updated Dec 4th, 2012 - about 12 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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