Haynes, Kevin Scott

Haynes, Kevin Scott is an individual health care provider with primary practice located at 4060 4Th Ave Suite 240, San Diego CA 92103-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Haynes, Kevin Scott can be contacted via phone (619) 291-6064.

Contact Information

Primary practice address
4060 4Th Ave Suite 240 San Diego CA 92103-2120
Phone: (619) 291-6064
Fax: (619) 291-3078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A40741 California

Profile Details

NPI number 1467411447
LBN Legal business name Haynes, Kevin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 7th, 2010 - about 16 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 1467411447 NPPES
California MEDICAID ZZZ81882Z

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