# KEVIN ROY SWAN

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

## Provider details

- **NPI number:** 1215112578
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 136354 | NC | — |
| 207W00000X | Ophthalmology Physician | MD.203713 | LA | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 08/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215112578 | PHCS | LA |