Kephart, Jason Frank
Kephart, Jason Frank is an individual health care provider with primary practice located at 827 Spring St , Medford OR 97504-6104. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kephart, Jason Frank can be contacted via phone (541) 732-8360.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 201405051NP-PP | Oregon |
Profile Details
| NPI number | 1699033597 |
|---|---|
| LBN Legal business name | Kephart, Jason Frank |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Mar 18th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699033597 | NPPES |
| Oregon | MEDICAID | 500674715 |
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