# KEVIN DALE HESS

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

## Provider details

- **NPI number:** 1942249107
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02005766A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 5101013347 | MI | — |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 08/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 16-5-41-1478-4 | BCBSM PIN | MI |
| 05 | — | 1942249107 | — | MI |
| 05 | — | 300031437 | — | IN |
| 01 | — | MI1763040 | MEDICARE | MI |
| 01 | — | N42130031 | MEDICARE PTAN | MI |