Mark, Kevin

Mark, Kevin is an individual health care provider with primary practice located at 1100 N Grand Ave , Walnut CA 91789-1399. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Mark, Kevin can be contacted via phone (909) 274-6555.

Contact Information

Primary practice address
1100 N Grand Ave Walnut CA 91789-1399
Phone: (909) 274-6555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X E115899 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1518460948
LBN Legal business name Mark, Kevin
Credentials ATC, EMT-B
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2018
Last updated Feb 13th, 2020 - about 4 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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