Individual
KEVIN EARLYWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
40773 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140-7002
(602) 714-1271
(480) 987-6566
Mailing address
1250 S CLEARVIEW AVE STE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2140
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501347
—
AZ
01
—
Z173812
MEDICARE PTAN
—
Enumeration date
02/22/2006
Last updated
04/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us