Kevin Dean Mikawa in Du Bois - Neurology

Kevin Dean Mikawa - NPI 1417929431

Kevin Dean Mikawa is a Neurology in Du Bois, Pennsylvania. Kevin Dean Mikawa practices all healthcare services and medical treatments related to Neurology. The NPI Number for Kevin Dean Mikawa is 1417929431. The last update date is 2020-06-25.

Kevin Dean Mikawa's current location address is 145 Hospital Ave Ste 211, Du Bois, Pennsylvania. You can contact this provider via phone number 8143752070 and fax number 8143752076. The mailing address for Kevin Dean Mikawa is 145 Hospital Ave Ste 211, Du Bois, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Dean Mikawa
Address 145 Hospital Ave Ste 211, Du Bois, Pennsylvania
Phone Number 8143752070
Fax Number 8143752076
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417929431
Provider Enumeration Date 2006-02-03
Last Updated Date 2020-06-25

Provider Mailing Address Detail

Address 145 Hospital Ave Ste 211
City Du Bois
State Pennsylvania (PA)
Post Code 158011464
Phone Number 8143752070
Fax Number 8143752076

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 22101
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200027210A OK --

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FAQs about Kevin Dean Mikawa

What is the unique provider identifier assigned to Kevin Dean Mikawa?

The Kevin Dean Mikawa has been issued the NPI (National Provider Identifier) 1417929431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Kevin Dean Mikawa is located?

The Kevin Dean Mikawa is situated at the following address: 145 Hospital Ave Ste 211, Du Bois, PA, 158011464.

What is the area of specialization for Kevin Dean Mikawa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kevin Dean Mikawa is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.

On what date did the Kevin Dean Mikawa receive its 1417929431 assignment from the Centers for Medicare & Medicaid Services?

The Kevin Dean Mikawa was assigned its 1417929431 by the Centers for Medicare & Medicaid Services on 2006-02-03.

When was the information related to Kevin Dean Mikawa most recently updated or refreshed?

The details pertaining to the Kevin Dean Mikawa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-25.

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