Mcclurg, Kevin P

Mcclurg, Kevin P is an individual health care provider with primary practice located at 709 W Orchard Dr Suite 4, Bellingham WA 98225-1766. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcclurg, Kevin P can be contacted via phone (360) 318-8800.

Contact Information

Primary practice address
709 W Orchard Dr Suite 4 Bellingham WA 98225-1766
Phone: (360) 318-8800
Fax: (360) 318-1085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10002821 Washington

Profile Details

NPI number 1245296615
LBN Legal business name Mcclurg, Kevin P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245296615 NPPES
Washington Other 3976MC REGENCE BLUESHIELD
Washington Other 423898000 REGENCE BLUESHIELD
Washington MEDICAID 8335010 REGENCE BLUESHIELD

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