Individual
MR. KEVIN LEE FAIN
Active
Individual
MR. KEVIN LEE FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H3878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131305806
—
TX
01
—
200039355
RAILROAD MEDICARE
—
01
—
8948K0
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/12/2005
Last updated
01/05/2017
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