Benjamin Daniel Kevan ATC, PAC

NPI 1013960368 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1013960368
Gender Male
Enumeration Date 05/18/2006
Last Updated 09/23/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3620 NW SAMARITAN DRIVE
CORVALLIS OR, 97330, US
Phone (541) 768-4810
Fax
Business Location
3620 NW SAMARITAN DRIVE
CORVALLIS OR, 97330, US
Phone (541) 768-4810
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Wisconsin
License Number 791039
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According to our database, Benjamin Daniel Kevan ATC, PAC NPI is 1013960368, taxonomy code is 2255A2300X and license number is 791039, license state is located at Wisconsin. Benjamin Daniel Kevan ATC, PAC physically located at 3620 Nw Samaritan Drive, Corvallis OR, 97330. NPI Number Benjamin Daniel Kevan ATC, PAC has the Individual type.

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1013960368 NPI number is provided on an as is basis without warranty of any kind. 1013960368 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Daniel Kevan ATC, PAC are for informational purposes only.