Kevin A Lewellen in Fort Defiance - Nurse Anesthetist, Certified Registered
Kevin A Lewellen - NPI 1124047949
Kevin A Lewellen is a Nurse Anesthetist, Certified Registered in Fort Defiance, Arizona. Kevin A Lewellen practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kevin A Lewellen is 1124047949. The last update date is 2019-05-22.
Kevin A Lewellen's current location address is Po Box 649, Fort Defiance, Arizona. You can contact this provider via phone number 9287298000. The mailing address for Kevin A Lewellen is Po Box 649, Fort Defiance, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin A Lewellen |
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Address | Po Box 649, Fort Defiance, Arizona |
Phone Number | 9287298000 |
Fax Number | |
Sole Proprietor | Y |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1124047949 |
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Provider Enumeration Date | 2006-07-19 |
Last Updated Date | 2019-05-22 |
Provider Mailing Address Detail
Address | Po Box 649 |
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City | Fort Defiance |
State | Arizona (AZ) |
Post Code | 865040649 |
Phone Number | 9287298000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | APN11125 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3626474 | TN | -- | |
4024090 | TN | BLUE CROSS PROVIDER NUMBE | |
430066708 | TN | RR MEDICARE |
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What is the unique 10-digit identifier code issued to Kevin A Lewellen by the Centers for Medicare & Medicaid Services?
The Kevin A Lewellen has been assigned the NPI (National Provider Identifier) 1124047949 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kevin A Lewellen is physically located?
The Kevin A Lewellen is situated at the following address: Po Box 649, Fort Defiance, AZ 865040649.
What is Kevin A Lewellen's area of expertise and its corresponding taxonomy classification?
The Kevin A Lewellen's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kevin A Lewellen receive the assignment of its 1124047949 from the Centers for Medicare & Medicaid Services?
The Kevin A Lewellen was issued its 1124047949 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the Kevin A Lewellen's information last updated?
The Kevin A Lewellen's information was last updated on 2019-05-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC