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Individual

MR. KEVIN A BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 01453
OR
363AS0400X
Surgical Physician Assistant
Primary
PA01453
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605318
OR
Enumeration date
06/28/2006
Last updated
08/16/2024
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