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Individual

KEVA SWOPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4740
Mailing address
8570 POLO CLUB DR APT U606, MERRILLVILLE, IN 46410-8843
(219) 648-2075

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28226263A
IN
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
71009878A
IN
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
71009878A
IN
2084P0800X
Psychiatry Physician
Primary
71009878A
IN
208D00000X
General Practice Physician
71009878A
IN

Other

Enumeration date
10/26/2019
Last updated
05/16/2023
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