Letz, Kevin Lee
Letz, Kevin Lee is an individual health care provider with primary practice located at 300 Pasteur Dr Sumc - Peds Physician Billing Mc:5530, Palo Alto CA 94305-2200. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Letz, Kevin Lee can be contacted via phone (650) 498-7391.Contact Information
Primary practice address
300 Pasteur Dr Sumc - Peds Physician Billing Mc:5530
Palo Alto CA 94305-2200
Phone: (650) 498-7391
Fax: (650) 725-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP17933 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000749A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP3102 | Arizona |
Profile Details
| NPI number | 1487617064 |
|---|---|
| LBN Legal business name | Letz, Kevin Lee |
| Credentials | DNP, NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Apr 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487617064 | NPPES |
| Other | 11059766 | CAQH | |
| Other | 500029255 | CAQH | |
| MEDICAID | 200229520 | CAQH |
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