Wall, Kevin S.
Wall, Kevin S. is an individual health care provider with primary practice located at 1661 Saint Anthony Ave , Saint Paul MN 55104-3733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Wall, Kevin S. can be contacted via phone (651) 968-5300.Contact Information
Primary practice address
1661 Saint Anthony Ave
Saint Paul MN 55104-3733
Phone: (651) 968-5300
Fax: (651) 646-0205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 38367 | Minnesota |
Profile Details
NPI number | 1508843335 |
---|---|
LBN Legal business name | Wall, Kevin S. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2005 |
Last updated | Jul 2nd, 2015 - about 9 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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