Prince, Kevin M

Prince, Kevin M is an individual health care provider with primary practice located at 538 Broadway , Winnie TX 77665-7600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Prince, Kevin M can be contacted via phone (409) 296-6000.

Contact Information

Primary practice address
538 Broadway Winnie TX 77665-7600
Phone: (409) 296-6000
Fax: (409) 296-6375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP113090 Texas

Profile Details

NPI number 1558396465
LBN Legal business name Prince, Kevin M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 25th, 2023 - about last year

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 1558396465 NPPES
Texas Other 8N7097 BCBS
Texas MEDICAID 168116503 BCBS

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