Zeller, Kevin Richard

Zeller, Kevin Richard is an individual health care provider with primary practice located at 1525 W Frye Rd , Chandler AZ 85224-6178. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Zeller, Kevin Richard can be contacted via phone (480) 812-7000.

Contact Information

Primary practice address
1525 W Frye Rd Chandler AZ 85224-6178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1104952191
LBN Legal business name Zeller, Kevin Richard
Credentials MSE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 26th, 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 1104952191 NPPES
Arizona MEDICAID 549131

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