Flanigan, Kevin Sean

Flanigan, Kevin Sean is an individual health care provider with primary practice located at 1111 N China Lake Blvd Ste 190 , Ridgecrest CA 93555-3131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Flanigan, Kevin Sean can be contacted via phone (760) 499-3855.

Contact Information

Primary practice address
1111 N China Lake Blvd Ste 190 Ridgecrest CA 93555-3131
Fax: (760) 499-3870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 014522 Maine

Profile Details

NPI number 1003987587
LBN Legal business name Flanigan, Kevin Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Nov 30th, 2021 - about 3 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 1003987587 NPPES
Maine MEDICAID 326990099

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