Moore, Kevin Lionel St Patrick

Moore, Kevin Lionel St Patrick is an individual health care provider with primary practice located at 101 Bodin Cir Sgpf, Travis Afb CA 94535-1809. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Moore, Kevin Lionel St Patrick can be contacted via phone (707) 423-7225.

Contact Information

Primary practice address
101 Bodin Cir Sgpf Travis Afb CA 94535-1809
Phone: (707) 423-7225
Fax: (707) 423-5026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1649404807
LBN Legal business name Moore, Kevin Lionel St Patrick
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2009
Last updated May 3rd, 2009 - about 15 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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