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Contact Information

KEVIN L RAINEY, PAC
510 LINCOLN DRIVE
SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL62948
 Phone: 618-997-6800
 Fax: 618-998-9124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEVIN L RAINEY · (Male)

NPI # 1215042833
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/21/2006
Last updated 10/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085002094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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