Individual
KEVIN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
557 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-7281
Mailing address
557 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-7281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0000060990
TN
207P00000X
Emergency Medicine Physician
55359
KY
207P00000X
Emergency Medicine Physician
Primary
MD214589
OR
Other
Enumeration date
04/11/2018
Last updated
09/02/2023
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