Lake, Kevin C

Lake, Kevin C is an individual health care provider with primary practice located at 475 Irving Ave Suite 418, Syracuse NY 13210-1756. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lake, Kevin C can be contacted via phone (315) 426-0190.

Contact Information

Primary practice address
475 Irving Ave Suite 418 Syracuse NY 13210-1756
Phone: (315) 426-0190
Fax: (315) 426-0192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 010298 New York

Profile Details

NPI number 1841253341
LBN Legal business name Lake, Kevin C
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 18th, 2009 - about 15 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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