Individual
KEVIN M CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-3232
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34007421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360662
BC/BS INDIVIDUAL #
OH
01
—
000000377186
BC/BS ST. CHARLESNONPAR
OH
05
—
114734060
—
MI
05
—
114769163
—
OH
05
—
114871864
—
MI
05
—
2316970
—
OH
01
—
727151
BUCKEY COMMUNITY #
OH
01
—
P00212617
RAILROAD MEDICARE #
OH
01
—
P00318337
MEDICARE RAIL ROAD
OH
Enumeration date
04/08/2006
Last updated
05/29/2008
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