Rathke, Kevin M.
Rathke, Kevin M. is an individual health care provider with primary practice located at 4709 Creekstone Dr , Durham NC 27703-9822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Rathke, Kevin M. can be contacted via phone (919) 385-8880.Contact Information
Primary practice address
4709 Creekstone Dr
Durham NC 27703-9822
Phone: (919) 385-8880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2002-01621 | North Carolina |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01621 | North Carolina |
Profile Details
| NPI number | 1750313110 |
|---|---|
| LBN Legal business name | Rathke, Kevin M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750313110 | NPPES |
| North Carolina | MEDICAID | 891329P |
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