Park, Kevin Warren
Park, Kevin Warren is an individual health care provider with primary practice located at 124 River Rd Kinship Center, Salinas CA 93908-9601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Park, Kevin Warren can be contacted via phone (831) 455-4770.Contact Information
Primary practice address
124 River Rd Kinship Center
Salinas CA 93908-9601
Phone: (831) 455-4770
Fax: (831) 455-4739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | G65353 | California |
Profile Details
NPI number | 1013045343 |
---|---|
LBN Legal business name | Park, Kevin Warren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2007 |
Last updated | Mar 7th, 2023 - about 2 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 | 1013045343 | NPPES |
California | Other | G65363 | STATE MEDICAL LICENSE |
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