Maltais, Kevin James

Maltais, Kevin James is an individual health care provider with primary practice located at 568 Ruin Creek Rd Suite 105, Henderson NC 27536-2880. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Maltais, Kevin James can be contacted via phone (252) 436-1380.

Contact Information

Primary practice address
568 Ruin Creek Rd Suite 105 Henderson NC 27536-2880
Phone: (252) 436-1380
Fax: (252) 436-1851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024167055 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 181612 North Carolina

Profile Details

NPI number 1447346499
LBN Legal business name Maltais, Kevin James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 28th, 2008 - about 17 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 1447346499 NPPES
North Carolina MEDICAID 8051607

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