Preston, Kevin L.

Preston, Kevin L. is an sole proprietor health care provider with primary practice located at 101 Tower Road Suite 100, Dakota Dunes SD 57049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Preston, Kevin L. can be contacted via phone (605) 217-4310.

Contact Information

Primary practice address
101 Tower Road Suite 100 Dakota Dunes SD 57049
Phone: (605) 217-4310
Fax: (605) 217-2915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 02660 Iowa
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 3502 South Dakota

Profile Details

NPI number 1396717229
LBN Legal business name Preston, Kevin L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2006
Last updated Oct 25th, 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 1396717229 NPPES
South Dakota Other 0004023 BLUE CROSS BLUE SHIELD
South Dakota MEDICAID 42140591500 BLUE CROSS BLUE SHIELD
South Dakota Other 12129 BLUE CROSS BLUE SHIELD
South Dakota MEDICAID 1074542 BLUE CROSS BLUE SHIELD
South Dakota MEDICAID 7797132 BLUE CROSS BLUE SHIELD

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