Individual
KEVIN JOSEPH BISHOP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(504) 556-8112
(504) 556-8115
Mailing address
PO BOX 7133, BELLE CHASSE, LA 70037-7133
(504) 556-8112
(504) 556-8115
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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