Poelker, Kevin P

Poelker, Kevin P is an sole proprietor health care provider with primary practice located at 1255 Viscaya Pkwy Ste 200 , Cape Coral FL 33990-3290. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Poelker, Kevin P can be contacted via phone (239) 574-1988.

Contact Information

Primary practice address
1255 Viscaya Pkwy Ste 200 Cape Coral FL 33990-3290
Phone: (239) 574-1988
Fax: (239) 574-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2783 Florida

Profile Details

NPI number 1144202862
LBN Legal business name Poelker, Kevin P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Aug 25th, 2020 - about 4 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 1144202862 NPPES
Florida Other Y06XT FLORIDA BLUE

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