Mckeighen, Kevin E

Mckeighen, Kevin E is an individual health care provider with primary practice located at 3021 Griffin Ave , Enumclaw WA 98022-2369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckeighen, Kevin E can be contacted via phone (360) 825-6511.

Contact Information

Primary practice address
3021 Griffin Ave Enumclaw WA 98022-2369
Phone: (360) 825-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001732 Washington

Profile Details

NPI number 1841205283
LBN Legal business name Mckeighen, Kevin E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 7th, 2020 - about 6 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 1841205283 NPPES
Washington Other 0147750 STATE L&I
Washington Other 080169062 STATE L&I
Washington MEDICAID 8274540 STATE L&I
Washington Other 8928473 STATE L&I
Washington MEDICAID 1045873 STATE L&I

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