Packman, Kevin Scott

Packman, Kevin Scott is an individual health care provider with primary practice located at 5150 N Port Washington Rd Suite 151, Milwaukee WI 53217-5474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Packman, Kevin Scott can be contacted via phone (414) 332-1000.

Contact Information

Primary practice address
5150 N Port Washington Rd Suite 151 Milwaukee WI 53217-5474
Phone: (414) 332-1000
Fax: (414) 332-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33416 Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 33416 Wisconsin

Profile Details

NPI number 1437159399
LBN Legal business name Packman, Kevin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Mar 18th, 2008 - about 17 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 1437159399 NPPES
Wisconsin MEDICAID 32705400

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