O'Rourke, Kevin Russell

O'Rourke, Kevin Russell is an individual health care provider with primary practice located at 4040 30Th St , San Diego CA 92104-2684. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. O'Rourke, Kevin Russell can be contacted via phone (619) 515-2454.

Contact Information

Primary practice address
4040 30Th St San Diego CA 92104-2684
Phone: (619) 515-2454
Fax: (619) 692-0478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1184975427
LBN Legal business name O'Rourke, Kevin Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2012
Last updated Sep 26th, 2012 - about 12 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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