O'Brien, Kevin

O'Brien, Kevin is an sole proprietor health care provider with primary practice located at 2413 High St , Logansport IN 46947-1637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Brien, Kevin can be contacted via phone (574) 732-4609.

Contact Information

Primary practice address
2413 High St Logansport IN 46947-1637
Phone: (574) 732-4609
Fax: (574) 732-1049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036827 Indiana

Profile Details

NPI number 1003867771
LBN Legal business name O'Brien, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Nov 18th, 2011 - about 15 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 1003867771 NPPES
Indiana MEDICAID 100070980

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