Stanton, Kevan Christopher

Stanton, Kevan Christopher is an individual health care provider with primary practice located at 1128 Ne 2Nd St Ste 103 , Corvallis OR 97330-6230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stanton, Kevan Christopher can be contacted via phone (203) 507-0159.

Contact Information

Primary practice address
1128 Ne 2Nd St Ste 103 Corvallis OR 97330-6230
Phone: (203) 507-0159
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD162067 Oregon

Profile Details

NPI number 1457524548
LBN Legal business name Stanton, Kevan Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Dec 9th, 2023 - about 2 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 1457524548 NPPES
Oregon MEDICAID 500661662

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