Kevak, Rudolph Michael

Kevak, Rudolph Michael is an sole proprietor health care provider with primary practice located at 200 Main St , Saint Albans WV 25177-2802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kevak, Rudolph Michael can be contacted via phone (304) 201-3600.

Contact Information

Primary practice address
200 Main St Saint Albans WV 25177-2802
Phone: (304) 201-3600
Fax: (304) 201-2368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18988 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18988 West Virginia

Profile Details

NPI number 1932108206
LBN Legal business name Kevak, Rudolph Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Apr 20th, 2011 - about 14 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 1932108206 NPPES
West Virginia MEDICAID 5600010-000

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