# KEVIN CHARLES PAISLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194987511
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 2008016558 | MO | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 10/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1617926 | — | AK |
| 01 | — | 2008016558 | MEDICAL LICENSE | MO |
| 01 | — | 8162 | ALASKA LICENSE | AK |