Creelman, Kevin

Creelman, Kevin is an individual health care provider with primary practice located at 104 Center Ave Ste 100 , Kodiak AK 99615-6393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Creelman, Kevin can be contacted via phone (907) 486-4183.

Contact Information

Primary practice address
104 Center Ave Ste 100 Kodiak AK 99615-6393
Phone: (907) 486-4183
Fax: (907) 486-4233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AA1236 Alaska

Profile Details

NPI number 1538205307
LBN Legal business name Creelman, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 9th, 2015 - about 11 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 1538205307 NPPES
Alaska MEDICAID MD1326
Alaska MEDICAID GR0124

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