Laurence, Kevin J

Laurence, Kevin J is an individual health care provider with primary practice located at 9601 Townline Rd , Minocqua WI 54548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Laurence, Kevin J can be contacted via phone (715) 358-1169.

Contact Information

Primary practice address
9601 Townline Rd Minocqua WI 54548
Phone: (715) 358-1169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 358353 Wisconsin

Profile Details

NPI number 1649353046
LBN Legal business name Laurence, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649353046 NPPES
Wisconsin MEDICAID 31947400

Popular Providers