Raymer, Kevin Kyle

Raymer, Kevin Kyle is an individual health care provider with primary practice located at 126 E Main St Ste B , Payson AZ 85541-5488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raymer, Kevin Kyle can be contacted via phone (928) 472-4675.

Contact Information

Primary practice address
126 E Main St Ste B Payson AZ 85541-5488
Phone: (928) 472-4675
Fax: (928) 472-3431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-32629 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44721 Arizona

Profile Details

NPI number 1164643789
LBN Legal business name Raymer, Kevin Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Oct 5th, 2011 - about 14 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 1164643789 NPPES
Kansas Other 110150004 MEDICARE
Kansas MEDICAID 623101 MEDICARE
Kansas MEDICAID 200573240A MEDICARE
Kansas Other 110171004 MEDICARE

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