Kimmins, Kevin

Kimmins, Kevin is an individual health care provider with primary practice located at 601 Colliers Way , Weirton WV 26062-5014. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kimmins, Kevin can be contacted via phone (304) 797-6000.

Contact Information

Primary practice address
601 Colliers Way Weirton WV 26062-5014
Phone: (304) 797-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 59986 West Virginia

Profile Details

NPI number 1376687764
LBN Legal business name Kimmins, Kevin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Jul 9th, 2007 - about 17 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 1376687764 NPPES
Other 550387249 TAX ID
MEDICAID 38010004792 TAX ID

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