Individual
MR. KEVIN LAMAR REDUS
Active
Individual
MR. KEVIN LAMAR REDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2477
AZ
363AS0400X
Surgical Physician Assistant
Primary
2477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577786
—
AZ
05
—
577786001
—
AZ
01
—
AZ0146700
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
05/27/2005
Last updated
04/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up