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Individual
KEVIN JAMES DEAN
Active
Individual
KEVIN JAMES DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD200513
LA
208000000X
Pediatrics Physician
MD200513
LA
208M00000X
Hospitalist Physician
Primary
200513
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054285
—
LA
01
—
203259158
PPO PLUS
—
01
—
415014
COVENTRY
—
01
—
6133035
CIGNA PPO
—
01
—
7008763
AETNA
—
01
—
9420599
PHCS/AMER.LIFECARE
—
Enumeration date
10/11/2006
Last updated
04/01/2021
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