Passerby, Kevin A

Passerby, Kevin A is an individual health care provider with primary practice located at 557 E Main St , Kingwood WV 26537-1713. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Passerby, Kevin A can be contacted via phone (304) 329-1818.

Contact Information

Primary practice address
557 E Main St Kingwood WV 26537-1713
Phone: (304) 329-1818
Fax: (304) 329-1819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001135 West Virginia

Profile Details

NPI number 1275546905
LBN Legal business name Passerby, Kevin A
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 11th, 2008 - 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 1275546905 NPPES
West Virginia MEDICAID 156572000
West Virginia MEDICAID 2701802

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