Individual
KEVIN JAMES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1047 BLUEJAY ST., CANNONBALL, ND 58528
(701) 854-7117
Mailing address
1047 BLUEJAY ST., CANNONBALL, ND 58528
(701) 854-7117
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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