Lille, Kevin Douglas

Lille, Kevin Douglas is an individual health care provider with primary practice located at 21298 Olean Blvd Fawcett Memorial Hospital, Port Charlotte FL 33952. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lille, Kevin Douglas can be contacted via phone (941) 627-6130.

Contact Information

Primary practice address
21298 Olean Blvd Fawcett Memorial Hospital Port Charlotte FL 33952
Phone: (941) 627-6130
Fax: (941) 627-6146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101308 Florida

Profile Details

NPI number 1679588750
LBN Legal business name Lille, Kevin Douglas
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 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.

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