Benjamin Daniel Kevan, ATC, PAC

Physician Assistant · Corvallis, OR

Individual Active NPI

NPI number 1013960368

Practice location

3620 NW Samaritan Dr Ste 202
Corvallis, OR 97330-3785
Phone
(541) 768-4810

Open in Google Maps

NPI record

NPI
1013960368
Entity type
Individual (Type 1)
Enumeration date
May 18, 2006
Last updated
November 10, 2020
Certified
November 10, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA01366 OR
Athletic Trainer 2255A2300X 791039 WI
Physician Assistant 363A00000X — —

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

About Benjamin Kevan

Benjamin Daniel Kevan, ATC, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3620 NW Samaritan Dr Ste 202, Corvallis, OR 97330-3785. The NPI number 1013960368 was assigned on May 18, 2006 and the record was last updated on November 10, 2020.

Benjamin Kevan lists 2 licenses in the registry: #PA01366 (OR) for Physician Assistant; #791039 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Daniel Kevan, ATC, PAC?

The NPI number is 1013960368.

What is the phone number of Benjamin Kevan?

The phone number listed for the practice location is (541) 768-4810.

Where is Benjamin Kevan located?

3620 NW Samaritan Dr Ste 202, Corvallis, OR 97330-3785.

What is the taxonomy code for Benjamin Kevan?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Corvallis

All Physician Assistant providers in Corvallis, OR →