Drew, Kevin Gene

Drew, Kevin Gene is an individual health care provider with primary practice located at 3740 Edison Lakes Pkwy , Mishawaka IN 46545-3448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Drew, Kevin Gene can be contacted via phone (574) 252-4150.

Contact Information

Primary practice address
3740 Edison Lakes Pkwy Mishawaka IN 46545-3448
Phone: (574) 252-4150
Fax: (574) 252-4159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 01042863 Indiana

Profile Details

NPI number 1275538373
LBN Legal business name Drew, Kevin Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275538373 NPPES
Michigan MEDICAID 103506865
Michigan MEDICAID 200137230A
Michigan MEDICAID 35205027103
Michigan Other 000000093083
Michigan MEDICAID 103400810
Michigan MEDICAID 104240346
Michigan Other 250009418
Michigan Other 250A110370
Michigan Other 3520574
Michigan Other 129646400

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