Kon, Kevin

Kon, Kevin is an individual health care provider with primary practice located at 1066 N Power Rd Ste 101, Mesa AZ 85205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kon, Kevin can be contacted via phone (480) 776-1588.

Contact Information

Primary practice address
1066 N Power Rd Ste 101 Mesa AZ 85205
Phone: (480) 776-1588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3082 Arizona

Profile Details

NPI number 1124056502
LBN Legal business name Kon, Kevin
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1124056502 NPPES
Arizona MEDICAID 043383

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