Kevan G Lewis in Green Bay - Mohs-micrographic Surgery
Kevan G Lewis - NPI 1497970560
Kevan G Lewis is a Mohs-micrographic Surgery in Green Bay, Wisconsin. Kevan G Lewis practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Kevan G Lewis is 1497970560. The last update date is 2023-03-07.
Kevan G Lewis's current location address is 2221 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9209650345 and fax number 9202736011. The mailing address for Kevan G Lewis is 2221 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevan G Lewis |
|---|---|
| Address | 2221 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9209650345 |
| Fax Number | 9202736011 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497970560 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2221 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012158 |
| Phone Number | 9209650345 |
| Fax Number | 9202736011 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 53110-020 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ENROLLED | IA | -- | |
| P00787809 | MN | RAILROAD MEDICARE | |
| 1497970560 | WI | -- | |
| 53110-020 | WI | STATE LICENSE | |
| ENROLLED | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevan G Lewis by the Centers for Medicare & Medicaid Services?
The Kevan G Lewis has been assigned the NPI (National Provider Identifier) 1497970560 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kevan G Lewis's facilities are geographically located?
The facilities of Kevan G Lewis are physically situated at the following location: 2221 S Webster Ave, Green Bay, WI, 543012158.
What is Kevan G Lewis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevan G Lewis's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497970560 to Kevan G Lewis?
The Centers for Medicare & Medicaid Services originally issued the 1497970560 to Kevan G Lewis on 2007-04-16.
When was the Kevan G Lewis's information last updated?
The Kevan G Lewis's information was last updated on 2023-03-07.