O'Nan, Kevin A.

O'Nan, Kevin A. is an individual health care provider with primary practice located at 2875 W Ray Rd , Chandler AZ 85224-3524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. O'Nan, Kevin A. can be contacted via phone (480) 899-3070.

Contact Information

Primary practice address
2875 W Ray Rd Chandler AZ 85224-3524
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2926 Arizona

Profile Details

NPI number 1821080821
LBN Legal business name O'Nan, Kevin A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Nov 13th, 2023 - about 3 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 1821080821 NPPES
Arizona MEDICAID 824418

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