Individual
DR. KEVIN P MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7790 DAYTON SPRINGFIELD RD STE B, FAIRBORN, OH 45324-1996
(937) 340-6440
(937) 340-6441
Mailing address
3250 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9285
(937) 399-7777
(937) 399-6794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000482599
ANTHEM
OH
05
—
2666913
—
OH
01
—
2671695
UNITEDHEALTHCARE
OH
01
—
2900159
CIGNA
OH
01
—
7978819
AETNA
OH
Enumeration date
06/02/2006
Last updated
10/21/2022
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