Mikus, Kevin P

Mikus, Kevin P is an individual health care provider with primary practice located at 4525 Cameron Valley Pkwy Ste 3100 , Charlotte NC 28211-4377. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mikus, Kevin P can be contacted via phone (704) 302-8375.

Contact Information

Primary practice address
4525 Cameron Valley Pkwy Ste 3100 Charlotte NC 28211-4377
Phone: (704) 302-8375
Fax: (704) 302-9071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 27952 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27952 North Carolina

Profile Details

NPI number 1023097938
LBN Legal business name Mikus, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Nov 16th, 2012 - about 13 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 1023097938 NPPES
North Carolina Other CN8132 MEDICARE RAILROAD
North Carolina MEDICAID 8958796 MEDICARE RAILROAD

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