Trahan, Kevin

Trahan, Kevin is an individual health care provider with primary practice located at 4200 Ocean St , Atlantic Beach FL 32233-2416. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Other Service Providers / Independent Duty Corpsman. Technologists, Technicians & Other Technical Service Providers / Technician, Other is his primary health care specialty. Trahan, Kevin can be contacted via phone (904) 564-7581.

Contact Information

Primary practice address
4200 Ocean St Atlantic Beach FL 32233-2416
Phone: (904) 564-7581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1598744021
LBN Legal business name Trahan, Kevin
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598744021 NPPES
Florida Other 1710I1003X IDMT

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