Individual
KEVIN RICHARD BAUEREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1735
(502) 852-6056
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 587-4784
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039499
—
IN
05
—
7100362720
—
KY
Enumeration date
06/02/2010
Last updated
06/29/2020
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