Teal, Kevin Renard

Teal, Kevin Renard is an individual health care provider with primary practice located at 611 W. Park St. Neurosurgery, Urbana IL 61801-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Teal, Kevin Renard can be contacted via phone (217) 383-3507.

Contact Information

Primary practice address
611 W. Park St. Neurosurgery Urbana IL 61801-2500
Phone: (217) 383-3507
Fax: (217) 383-6006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X J2368 Texas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 29001 Oklahoma
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036134440 Illinois

Profile Details

NPI number 1356391387
LBN Legal business name Teal, Kevin Renard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 10th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356391387 NPPES
Texas MEDICAID 1613127-01
Texas MEDICAID 200444140A

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