Hettinger, Kevin Dale
Hettinger, Kevin Dale is an individual health care provider with primary practice located at 18Th Medical Group Unit 5142 , Apo AP 96368. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Hettinger, Kevin Dale can be contacted via phone (315) 630-5050.Contact Information
Primary practice address
18Th Medical Group Unit 5142
Apo AP 96368
Phone: (315) 630-5050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 01056228A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01056228A | Indiana |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 01056228A | Indiana |
Profile Details
| NPI number | 1356338065 |
|---|---|
| LBN Legal business name | Hettinger, Kevin Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Nov 2nd, 2020 - about 6 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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