Keville, Worthington S.
Keville, Worthington S. is an individual health care provider with primary practice located at 787 37Th St Ste E2200 , Vero Beach FL 32960-7305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Keville, Worthington S. can be contacted via phone (772) 978-7808.Contact Information
Primary practice address
787 37Th St Ste E2200
Vero Beach FL 32960-7305
Phone: (772) 978-7808
Fax: (772) 978-9320
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA2528 | Florida |
Profile Details
NPI number | 1881623536 |
---|---|
LBN Legal business name | Keville, Worthington S. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 2nd, 2006 |
Last updated | Sep 9th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881623536 | NPPES |
Florida | Other | 970025675 | RAILROAD MEDICARE |
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