Individual
MR. KEVIN LEE FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1123 S PALESTINE ST, ATHENS, TX 75751-3646
(903) 675-9526
(903) 677-1815
Mailing address
1123 S PALESTINE ST, ATHENS, TX 75751-3646
(903) 675-9526
(903) 677-1815
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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