Homer, Kevin S

Homer, Kevin S is an individual health care provider with primary practice located at 11801 South Fwy , Burleson TX 76028-7021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Homer, Kevin S can be contacted via phone (817) 293-4304.

Contact Information

Primary practice address
11801 South Fwy Burleson TX 76028-7021
Phone: (817) 293-4304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H8137 Texas
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X H8137 Texas

Profile Details

NPI number 1891786976
LBN Legal business name Homer, Kevin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 9th, 2021 - about 3 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 1891786976 NPPES
Texas MEDICAID 117966503

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