Lane, Kevin Lamont

Lane, Kevin Lamont is an sole proprietor health care provider with primary practice located at 7149 Jennings Rd Ne , Leland NC 28451-9431. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Lane, Kevin Lamont can be contacted via phone (910) 231-5770.

Contact Information

Primary practice address
7149 Jennings Rd Ne Leland NC 28451-9431
Phone: (910) 231-5770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 83-0638824 North Carolina

Profile Details

NPI number 1437640448
LBN Legal business name Lane, Kevin Lamont
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2018
Last updated May 24th, 2018 - about 6 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 1437640448 NPPES
North Carolina MEDICAID 83-0638824

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