Mr Kevin R Deutsche, RPA-C | |
555 Petaluma Ave Ste B, Sebastopol, CA 95472-4225 | |
(707) 823-7602 | |
(707) 823-7625 |
Full Name | Mr Kevin R Deutsche |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 555 Petaluma Ave Ste B, Sebastopol, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982752440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 011652 (New York) | Secondary |
363A00000X | Physician Assistant | PA21817 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin R Deutsche, RPA-C 555 Petaluma Ave Ste B, Sebastopol, CA 95472-4225 Ph: (707) 823-7602 | Mr Kevin R Deutsche, RPA-C 555 Petaluma Ave Ste B, Sebastopol, CA 95472-4225 Ph: (707) 823-7602 |
Kyla Wolff Ehrenreich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: West County Health Centers, 652 Petaluma Ave Suite H, Sebastopol, CA 95472 Phone: 707-823-3166 | |
Tonnie Moore, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Petaluma Ave, Suite B, Sebastopol, CA 95472 Phone: 707-823-7602 Fax: 707-823-7625 |