Kevin J Bardwell in Baxter - Family Medicine

Kevin J Bardwell - NPI 1801875869

Kevin J Bardwell is a Family Medicine in Baxter, Minnesota. Kevin J Bardwell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin J Bardwell is 1801875869. The last update date is 2019-07-08.

Kevin J Bardwell's current location address is 13060 Isle Dr, Baxter, Minnesota. You can contact this provider via phone number 2188282880. The mailing address for Kevin J Bardwell is 13060 Isle Dr, Baxter, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin J Bardwell
Address 13060 Isle Dr, Baxter, Minnesota
Phone Number 2188282880
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1801875869
Provider Enumeration Date 2006-01-10
Last Updated Date 2019-07-08

Provider Mailing Address Detail

Address 13060 Isle Dr
City Baxter
State Minnesota (MN)
Post Code 564258331
Phone Number 2188282880
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36003
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
572149 IA --
41084933956001C CHAMPUS
62B41BA MN BCBS
118449 MN MEDICA
21851 MN AMERICAS PPO
32013500 WI --
204283500 MN --
105085 MN UCARE
NA2951006282 MN PREFERRED ONE
80163236 RR MEDICARE

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FAQs about Kevin J Bardwell

What is the unique 10-digit identification code issued to Kevin J Bardwell by the Centers for Medicare & Medicaid Services?

The Kevin J Bardwell has been assigned the NPI (National Provider Identifier) 1801875869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kevin J Bardwell's facilities are geographically located?

The facilities of Kevin J Bardwell are physically situated at the following location: 13060 Isle Dr, Baxter, MN, 564258331.

What is Kevin J Bardwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kevin J Bardwell's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When was the Kevin J Bardwell's 1801875869 issued?

The Kevin J Bardwell's 1801875869 was issued on 2006-01-10.

As of what date were the Kevin J Bardwell's details last updated?

The information pertaining to the Kevin J Bardwell, including its address, specialty, and other details, was most recently updated on 2019-07-08.

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