Reese, Kevin John

Reese, Kevin John is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reese, Kevin John can be contacted via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 791-9626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9701125 North Carolina

Profile Details

NPI number 1073518460
LBN Legal business name Reese, Kevin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Oct 12th, 2010 - 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 1073518460 NPPES
North Carolina Other B4556 MEDCOST
North Carolina Other 1073X MEDCOST
North Carolina MEDICAID 891073X MEDCOST
North Carolina Other 930084667 MEDCOST
North Carolina Other 01-28736 MEDCOST
North Carolina Other 930077045 MEDCOST
North Carolina MEDICAID Q0112D MEDCOST

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