Mattos, Kevin Richard

Mattos, Kevin Richard is an individual health care provider with primary practice located at Marvin Shields Blvd Cbc Gulfport, Gulfport MS 39501-0000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mattos, Kevin Richard can be contacted via phone (850) 341-0754.

Contact Information

Primary practice address
Marvin Shields Blvd Cbc Gulfport Gulfport MS 39501-0000
Phone: (850) 341-0754
Fax: (228) 871-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1558576702
LBN Legal business name Mattos, Kevin Richard
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 18 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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