Kevan, Benjamin Daniel

Kevan, Benjamin Daniel is an sole proprietor health care provider with primary practice located at 3620 Nw Samaritan Dr Ste 202 , Corvallis OR 97330-3785. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kevan, Benjamin Daniel can be contacted via phone (541) 768-4810.

Contact Information

Primary practice address
3620 Nw Samaritan Dr Ste 202 Corvallis OR 97330-3785
Phone: (541) 768-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 791039 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01366 Oregon

Profile Details

NPI number 1013960368
LBN Legal business name Kevan, Benjamin Daniel
Credentials ATC, PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Nov 10th, 2020 - about 4 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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