Individual
DR. DARRELL KENNEDY EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5871 MONCLOVA RD, MAUMEE, OH 43537-1839
(419) 897-8376
(419) 887-8789
Mailing address
5871 MONCLOVA RD, MAUMEE, OH 43537-1839
(419) 897-8376
(419) 887-8789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35044785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439814
—
OH
05
—
0439817
—
OH
Enumeration date
12/06/2005
Last updated
05/01/2012
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