Kevin L Brink, M.D.
Individual provider Active NPI Anesthesiology Physician · Arcata, CA
NPI 1619083722 · NPPES record last updated Aug 27, 2014
Key facts
- NPI
- 1619083722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- G59216 (CA)
- Practice address
- 3800 Janes Rd
Arcata, CA 95521-4742 - Phone
- (707) 442-4848
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59216 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G59216 | CA | Yes |
Addresses
Primary practice location
3800 Janes Rd
Arcata, CA 95521-4742
Mailing address
PO Box 3669
Santa Rosa, CA 95402-3669
Phone (707) 535-4300
Other providers in Arcata, CA
- Sarah Helen Braun
- Lucia Agnes Brazier-Obannion
- Joseph T. Breen
- Annette Breshears-McLean
- Jenoa Briar-Bonpane
- Jonathan Peter Broadhurst
- Dayna L Brockman
- Amy P. Brom
- Carrie R. K. Brothers
- Adam Brown
All providers in Arcata, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.