Kooiker, Kevin Paul

Kooiker, Kevin Paul is an sole proprietor health care provider with primary practice located at 1515 Lyndale Ave , Eau Claire WI 54701-4362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Kooiker, Kevin Paul can be contacted via phone (612) 978-1086.

Contact Information

Primary practice address
1515 Lyndale Ave Eau Claire WI 54701-4362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30773 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 61479 Wisconsin

Profile Details

NPI number 1134174949
LBN Legal business name Kooiker, Kevin Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jan 24th, 2014 - about 11 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 1134174949 NPPES
Minnesota MEDICAID 588085800

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