Mckennan, Kevin X

Mckennan, Kevin X is an individual health care provider with primary practice located at 1111 Exposition Blvd Bldg 700 , Sacramento CA 95815-4314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Mckennan, Kevin X can be contacted via phone (916) 736-3408.

Contact Information

Primary practice address
1111 Exposition Blvd Bldg 700 Sacramento CA 95815-4314
Phone: (916) 736-3408
Fax: (916) 233-4171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X G40176 California

Profile Details

NPI number 1356344022
LBN Legal business name Mckennan, Kevin X
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 4th, 2018 - about 6 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 1356344022 NPPES
California Other 040003543 RR MEDICARE PIN

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