Marks, Kevin P.

Marks, Kevin P. is an individual health care provider with primary practice located at 4010 Aerial Way , Eugene OR 97402-9757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Marks, Kevin P. can be contacted via phone (541) 242-8500.

Contact Information

Primary practice address
4010 Aerial Way Eugene OR 97402-9757
Phone: (541) 242-8500
Fax: (541) 242-8491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23017 Oregon

Profile Details

NPI number 1164499166
LBN Legal business name Marks, Kevin P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 12th, 2012 - about 13 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 1164499166 NPPES
Oregon MEDICAID 287635

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