Lewis, Kevin L

Lewis, Kevin L is an sole proprietor health care provider with primary practice located at 3900 Bristol Hwy # B-14 , Johnson City TN 37601-1378. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lewis, Kevin L can be contacted via phone (423) 282-1842.

Contact Information

Primary practice address
3900 Bristol Hwy # B-14 Johnson City TN 37601-1378
Phone: (423) 282-1842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS007408 Tennessee

Profile Details

NPI number 1184780603
LBN Legal business name Lewis, Kevin L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184780603 NPPES
Tennessee Other 4004301 BLUE CROSS BLUE SHIELD
Tennessee Other 451884 BLUE CROSS BLUE SHIELD

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