Izard, Kevin Dwayne

Izard, Kevin Dwayne is an sole proprietor health care provider with primary practice located at 13700 W National Ave Suite 128, New Berlin WI 53151-9521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Izard, Kevin Dwayne can be contacted via phone (414) 217-4909.

Contact Information

Primary practice address
13700 W National Ave Suite 128 New Berlin WI 53151-9521
Phone: (414) 217-4909
Fax: (978) 291-1897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38516 Wisconsin

Profile Details

NPI number 1508831926
LBN Legal business name Izard, Kevin Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Jul 20th, 2016 - about 9 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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