Kevin M Small in South Bend - Vascular & Interventional Radiology
Kevin M Small - NPI 1689669715
Kevin M Small is a Vascular & Interventional Radiology in South Bend, Indiana. Kevin M Small practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Kevin M Small is 1689669715. The last update date is 2021-04-05.
Kevin M Small's current location address is 621 Memorial Dr Ste 312, South Bend, Indiana. You can contact this provider via phone number 5746475200 and fax number 5746475210. The mailing address for Kevin M Small is 621 Memorial Dr Ste 312, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M Small |
|---|---|
| Address | 621 Memorial Dr Ste 312, South Bend, Indiana |
| Phone Number | 5746475200 |
| Fax Number | 5746475210 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689669715 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | 621 Memorial Dr Ste 312 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011073 |
| Phone Number | 5746475200 |
| Fax Number | 5746475210 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 01044597A |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200181930 | IN | -- |
Post Comment/ Review Below
What is the Kevin M Small's 1689669715?
The Kevin M Small's NPI (National Provider Identifier) Number is 1689669715. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kevin M Small is located?
The Kevin M Small is situated at the following address: 621 Memorial Dr Ste 312, South Bend, IN, 466011073.
What is the Kevin M Small's area of specialization and corresponding taxonomy classification?
The Kevin M Small's specialty field is Vascular & Interventional Radiology, and it falls under the taxonomy code 2085R0204X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1689669715 to Kevin M Small?
The Kevin M Small received its 1689669715 assignment from the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date was the information regarding Kevin M Small, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin M Small, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-05.