Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN DANIEL KEVAN, ATC, PAC
Active Sole ProprietorPhysician Assistant · CORVALLIS, OR
Registration Details
- NPI Number
- 1013960368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (19.940106327506 yrs)
- Last Updated
- Nov 10, 2020
- Licenses
-
791039 (WI)PA01366 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3620 NW SAMARITAN DR STE 202CORVALLIS, OR, 973303785Browse OR providers · Browse ZIP 97330
- Phone
- 5417684810
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| STEPHEN A BENNETT | PAC | 1285622589 |
| DEAN D JORDAN | PA-C | 1487642799 |
| MR. WILLIAM H WRIGHT | PAC | 1427018027 |
| MRS. DENA M. HULTING | PA-C | 1154373868 |
| MR. JURANDIR B DE MENEZES JR. | PA-C | 1164462990 |
| MR. SCOTT J. BARLOW | PA-C | 1528001591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.