Pothoven, Kevin

Pothoven, Kevin is an individual health care provider with primary practice located at 1111 6Th Ave , Des Moines IA 50314-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Pothoven, Kevin can be contacted via phone (515) 247-3211.

Contact Information

Primary practice address
1111 6Th Ave Des Moines IA 50314-2613
Phone: (515) 247-3211
Fax: (515) 643-8722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301078608 Michigan

Profile Details

NPI number 1053368498
LBN Legal business name Pothoven, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jun 9th, 2009 - about 16 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 1053368498 NPPES
Iowa Other 06127 BC/BS OF IOWA
Iowa MEDICAID 104703457 BC/BS OF IOWA
Iowa Other KP078608 BC/BS OF IOWA
Iowa MEDICAID 104631572 BC/BS OF IOWA

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