Mikaelian, Kevin Kaye

Mikaelian, Kevin Kaye is an individual health care provider with primary practice located at 2545 W Hammer Ln , Stockton CA 95209-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mikaelian, Kevin Kaye can be contacted via phone (209) 957-7050.

Contact Information

Primary practice address
2545 W Hammer Ln Stockton CA 95209-2839
Phone: (209) 957-7050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G78209 California

Profile Details

NPI number 1093712200
LBN Legal business name Mikaelian, Kevin Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 28th, 2010 - about 14 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 1093712200 NPPES
California Other 0219850005 CIGNA MEDICARE PIN

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