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Individual
MR. KEVIN RAY CLEMANS
Active
Individual
MR. KEVIN RAY CLEMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71004655A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN11047323
FL
363LF0000X
Family Nurse Practitioner
R50536
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000959186
ANTHEM BCBS
IN
01
—
000001037665
ANTHEM BCBS- SJCTS
IN
01
—
000001133913
ANTHEM
IN
05
—
201263850
—
IN
01
—
IN1041012
MEDICARE-SJCTS
IN
01
—
P01734831
RR PTAN
IN
Enumeration date
07/16/2013
Last updated
09/03/2026
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