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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093712200 | NPPES |
California | Other | 0219850005 | CIGNA MEDICARE PIN |
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