Individual
DR. KEVIN WILLIAM PAUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
902 5TH ST, DURANT, IA 52747
(563) 785-6511
(563) 785-6347
Mailing address
902 5TH ST, PO BOX 715, DURANT, IA 52747-0715
(563) 785-6511
(563) 785-6347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05303
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231384
MIDLANDS CHOICE
—
01
—
25943
BLUE CROSS/BLUE SHIELD
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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