BENJAMIN DANIEL KEVAN

CORVALLIS, OR
NPI1013960368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01366)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  791039)
363A00000X Physician Assistant
Enumeration Date2006-05-18
Last Update Date2020-11-10
Business Address
BENJAMIN DANIEL KEVAN ATC, PAC
3620 NW SAMARITAN DR STE 202
CORVALLIS, OR 97330-3785
Phone number: 541-768-4810
Mailing Address
BENJAMIN DANIEL KEVAN ATC, PAC
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number: