Prater, Kevin J.

Prater, Kevin J. is an individual health care provider with primary practice located at 105 Valley West Dr Suite 100, West Des Moines IA 50265-3902. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Prater, Kevin J. can be contacted via phone (515) 223-4368.

Contact Information

Primary practice address
105 Valley West Dr Suite 100 West Des Moines IA 50265-3902
Phone: (515) 223-4368
Fax: (515) 453-2368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001453 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001453 Iowa

Profile Details

NPI number 1194706176
LBN Legal business name Prater, Kevin J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jun 8th, 2015 - about 10 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 1194706176 NPPES
Iowa Other IB2608010 MEDICARE PTAN
Iowa Other IB2878003 MEDICARE PTAN
Iowa Other IB2610005 MEDICARE PTAN
Iowa Other IB2609013 MEDICARE PTAN

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