Mark, Kelvin C
Mark, Kelvin C is an individual health care provider with primary practice located at 3315 Watt Ave , Sacramento CA 95821-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mark, Kelvin C can be contacted via phone (916) 481-6800.Contact Information
Primary practice address
3315 Watt Ave
Sacramento CA 95821-3600
Phone: (916) 481-6800
Fax: (916) 481-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 20A6085 | California |
Profile Details
| NPI number | 1710971502 |
|---|---|
| LBN Legal business name | Mark, Kelvin C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Dec 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710971502 | NPPES |
| California | MEDICAID | GR0028370 |
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