Dansby, Kevin Maurice

Dansby, Kevin Maurice is an individual health care provider with primary practice located at 1060 Peerless Xing Nw , Cleveland TN 37312-3784. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dansby, Kevin Maurice can be contacted via phone (423) 479-4165.

Contact Information

Primary practice address
1060 Peerless Xing Nw Cleveland TN 37312-3784
Phone: (423) 479-4165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000001138 Tennessee

Profile Details

NPI number 1376548040
LBN Legal business name Dansby, Kevin Maurice
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 18th, 2009 - 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 1376548040 NPPES
Tennessee Other 4092111 BCBS

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